Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam
Firm pressure with the palm of hand
→ inward and cephalad below the right costal margin for a few seconds
→ auscultation at the 4th and/or 5th intercostal space at the left stern
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or resistant hypertension: Resistant hypertension is defined as the persistence of hypertension despite concurrent use of adequate doses of three antihypert
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx 5% of patients w/ ascites have more than one cause (e.g. cirrhosis + TB, peritonitis, peritoneal carcinomatosis, HF, etc.).
Physical Exam:
1) Most
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
• Thin, easily bruisable skin with stretch marks (classically purple abdominal striae) and/or ecchymoses
• Delayed wound healing
• Flushing of the face
• Hirsutism
• Acne
• If
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals per year) and among African Americans (18-71 cases per 100,000 individuals per year)
2) Lowest in Asian countries (1 case per 100,000 in
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
- Prior platelet count, family history
- Medications
- Chronicity/severity
- History of bleeding (petechiae, ecchymoses, epistaxis, gingival bleeding, hematemesis, melena, heav
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious disease caused by the protozoan parasite Trypanosoma cruzi (T. cruzi), which is typically transmitted by triatomine bugs of the Reduviid family