55 results
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
failure • JVD ... • S3 • AFib ... Examination #chf #cardiology ... #heartfailure #physicalexam ... #diagnosis
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... Underlying structural heart ... #PhysicalExam # ... Clinical #Video ... #Cardiology
Cardiac Auscultation Practice - S4 Gallop

S4: add this extra heart sounds by tapping first finger twice

Setup:
Cardiac Auscultation ... add this extra heart ... #Auscultation # ... Practice #PhysicalExam ... #Clinical #Video
Cardiac Auscultation Practice - S3 Gallop

S3: add this extra heart sound by tapping second finger twice

Setup:
Cardiac Auscultation ... add this extra heart ... #Auscultation # ... Practice #PhysicalExam ... #Clinical #Video
Cardiac Auscultation Practice - Normal Heart sound
Tap a simple One-Two tap with the first and second
Cardiac Auscultation ... Practice - Normal Heart ... #Auscultation # ... Practice #PhysicalExam ... #Clinical #Video
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - HCM #Auscultation ... Maneuvers #Murmurs #Cardiac ... #cardiology #physicalexam ... #diagnosis
Canon A waves on Physical Examination

Associated with complete heart block. Notice the relatively slow HR. Echocardiography
with complete heart ... CanonA #Waves #Clinical ... #video #PhysicalExam ... #cardiology #JVP
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Fibrillation - Diagnosis ... - Ischemia (cardiac ... withdrawal ("holiday heart ... #Fibrillation #AFib ... PIRATES #Emergency #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 ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #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 ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... Pericarditis #Cardiology