Parkinsonism Hand Tremor Dr Supradip Ghosh @dr_supradip #Parkinsonism #Hand #Tremor #clinical #video #physicalexam #neurology

Fasciculations and Muscle Wasting on Physical Exam Patient with respiratory failure and motor neuron disease Dr. Supradip Ghosh @dr_supradip #Fasciculations #Muscle #clinical #video #neurology #motor

Normal Capillary Refill on Physical Exam Using a glass microscope slide to measure capillary refill time. Dr. Supradip Ghosh @dr_supradip #Normal #Capillary #Refill #PhysicalExam #clinical #video #perfusion #finger

Paradoxical Breathing noted on Physical Exam after Chest Wall Resection (Sarcoma) Dr. Supradip Ghosh @dr_supradip #Paradoxical #Breathing #Flail #Chest #Respiratory #Pulmonary #clinical #video #PhysicalExam #Thoracic

IVC Filter Placement under Fluoroscopy Dr. Supradip Ghosh @dr_supradip #IVC #Filter #Fluoroscopy #clinical #interventional #video #radiology #IR

Tongue Atrophy and Tongue Fasciculations on Physical Exam 44 year-old male with dysphasia and progressive muscular weakness. Dr. Supradip Ghosh @dr_supradip #Tongue #Atrophy #Fasciculations #glossal #PhysicalExam #clinical #video #neurology

Palpable Purpura seen in Henoch Schonlein Purpura (HSP, IgA Vasculitis) 55 year old male on tuberculosis treatment for 5 months. Had sore throat 20 days back, now abdominal pain, joint pain involving knees/ankles and palpable rash. Dr. Supradip Ghosh @dr_supradip #Palpable #Purpura #Henoch #Schonlein #HSP #IgA #Vasculitis #clinical #photo #dermatology #skin #rash #physicalexam

Norepinephrine extravasation from peripheral IV access (antecubital) • Avoid high-dose norepinephrine through peripheral access! • If forced, use a line proximal to the elbow. Dr. Supradip Ghosh @dr_supradip #Norepinephrine #extravasation #PIV #peripheral #pressors #clinical #photo

Janeway Lesions in Endocarditis seen on Physical Exam Dr Supradip Ghosh @dr_supradip 36 year old male with history of illicit drug use. Presented with sudden left hemiplegia, fevers. Blood cultures growing MRSA. His sister shared these photos today taken 15 days prior to presentation - Look at the characteristic Janeway lesions. Infective Endocarditis could have been diagnosed much earlier in an IV drug user with persistent fever - Clinical examination is so so important. Dr Supradip Ghosh @dr_supradip #Janeway #Lesions #Endocarditis #PhysicalExam #clinical #photo #dermatology #soles #skin

Flail Chest with Paradoxical Breathing on Physical Exam Missing this is not acceptable when you are in ED or ICU. Dr. Supradip Ghosh @dr_supradip #Flail #Chest #Paradoxical #Breathing #respiratory #PhysicalExam #clinical #video #trauma #pulmonary