16 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Maneuvers for Murmurs ... #Murmurs #Cardiac ... #cardiology #physicalexam ... #diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... #Murmurs #Maneuvers ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
and Causes Clinical ... Physical Exam: ↑JVP ... +S4, MR and TR Murmurs ... Endomyocardial: Carcinoid Heart ... #cardiology #algorithm
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... SYPATHOMIMETICS • CARDIAC ... • HYPOXIA PSYCHIATRIC ... #Differential #Diagnosis ... #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
There is an extra heart ... the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... inability of the right heart ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
fall of mean #JVP ... , severe right heart ... failure, right sided cardiac ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
, severe right heart ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... : • New cardiac ... murmur • Valvular ... Paradoxical emboli via ASD ... #management #cardiology
Cardiac Auscultation - Murmur Intensity Grading
Grade 1	Audible with a good stethoscope in a quiet room
Grade 2	Quiet
Cardiac Auscultation ... - Murmur Intensity ... stethoscope #Cardiac ... Intensity #Grading #diagnosis ... #cardiology #physicalexam