11 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
HIT) result is positive ... It cannot therefore ... #Diagnosis #PhysicalExam ... VestibularSyndrome #Posterior #CVA
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
One Trough - 'CV ... with Every Beat - Cannon ... Algorithm #diagnosis #cardiology ... #physicalexam
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... pulmonic stenosis - Cannon ... waves - Large cv ... #Diagnosis #PhysicalExam ... #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... regular rapid cannon ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Timeline for Progression of T2WI and DWI Findings in Acute Stroke
 - In the acute phase
DWI is already positive ... infarction will be positive ... - ADC will be of ... #Stroke #CVA #MRI ... Timeline #Neurology #Radiology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... fever, Infective endocarditis ... cardiomyopathy - VA ... Regurgitation #differential ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Gastric & Ovarian CA ... Blood cultures are positive ... Marantic (NTBE) Differential ... Regurgitation • Colon CA ... diagnosis #management #cardiology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
On the ADC maps, ... it possible to differentiate ... the acute scan cannot ... Progression #Stroke #CVA ... #Clinical #Radiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign - Differential ... blood from vena cava ... where we may see a positive ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... significantly positive ... • Infective Endocarditis ... Pulse #Pressure #Differential ... Pathophysiology #causes #cardiology