Sustained Ankle Clonus on Physical Exam by Dr. M Solerno via Martín Hunter MD @interconsulta #Ankle #Clonus #PhysicalExam #clinical #video #neurology

Landolfi's Sign in Severe Aortic Regurgitation - Physical Exam Martín Hunter MD @interconsulta #Landolfis #Sign #Aortic #Regurgitation #PhysicalExam #clinical #video #iris #cardiology #ophthalmology

Hoover's sign on Physical Exam Paradoxical inward movement of the rib cage with inspiration seen in patients with COPD and hyperinflation. Martín Hunter MD @interconsulta #Hoovers #sign #PhysicalExam #Clinical #Video #Breathing #Respiratory #pulmonary #paradoxical

Tongue Fasciculations in ALS Martín Hunter MD @interconsulta #Tongue #Fasciculations #als #amyotrophic #lateral #sclerosis #neurology #physicalexam #clinical #video

Strongyloides stercoralis on Microscopy (Duodenal Fluid) 38 year old male truck driver in Buenos Aires. Kidney Tx 5 months ago. ATG induction. Tac, MMF, prednisone maintenance. +Weight loss + dyspnea, No fever. Exam: epigastric abd pain on palpation +peripheral eosinophilia. Duodenal fluid was taken for diagnosis (microscopy shown) Diagnosis: Strongyloides stercoralis Ivermectin and albendazole were started. Patient regained weight progressively and eosinophilia resolved. Strongyloides stercoralis is a threadworm parasite that has a complex life cycle with both free-living and parasitic phases. Strongyloides is present in temperate, tropical, and subtropical environments and is believed to infect as many as 30 to 100 million individuals globally. The actual incidence of Strongyloides infection after solid organ transplantation is not defined. The main parasite that must be ruled out in the presence of eosinophilia is Strongyloides. Due to its particular biological cycle, it can persist for decades in the organism and later develop a hyperinfection syndrome when an immunosuppression situation occurs. #Strongyloides #stercoralis #clinical #Microscopy #microbiology #parasite

Petechiae #Photo #PhysicalExam #heme

Asymmetric chest expansion due to massive left atelectasis. 45 y/o men, prolonged ICU hospitalization post NeuroQx (AVM malformation). #Expansion #Asymmetry #Atelectasis #Clinical #Video #Pulmonary #PhysicalExam #Chest #Breathing #Asymmetric #Breathing #Atelectasis #Collapse #Respiratory

Platypnea-Orthodeoxia Syndrome on Physical Exam The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia syndrome. There is notable positional dyspnea and hypoxemia. Symptoms occur when the patient is upright and resolve when supine. You can observe how the respiratory mechanics improve markedly in the supine position. In addition, there is a drop in SaO2 from 96% to 90% (and in paO2 from 78 to 66 mmHg) when passing from the supine position to the sitting posture. No murmurs on physical examination. by Dr. Martín Hunter @interconsulta #Platypnea #Orthodeoxia #Syndrome #PhysicalExam #clinical #video #breathing #respiratory #pulmonary

Janeway Lesions of Endocarditis on Physical Exam #Janeway #Lesions #PhysicalExam #clinical #photo #fingertips #endocarditis

Positive Upgoing Babinski Sign on Physical Exam #Babinski #Sign #Positive #PhysicalExam #clinical #video #foot #upgoing #neurology #reflex