10 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Still useful for diagnosis ... Positive reflux= ... #PhysicalExam #Clinical ... #VolumeStatus #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Blood cultures are positive ... Diagnosis? ... Regurgitation • Colon ... #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... venous pressure, positive ... abdominojugular, reflux ... un lymphatic Diagnostic ... #management #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... , (B) a septal mitral ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
involves aortic and mitral ... Blood cultures are positive ... cases Culture Positive ... Regurgitation • Colon ... #cardiology #infectiousdiseases
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
patients with no signs ... Clinical Findings ... vegetations on mitral ... #Diagnosis #Management ... #Cardiology
Pickelhaube Sign on Echocardiogram
Pickelhaube sign may be seen in mitral valve prolapse (MVP): High velocity (≥
may be seen in mitral ... of myxomatous mitral ... Echocardiogram #POCUS ... #cardiology #clinical ... #diagnosis
Pneumopericardium on POCUS Echocardiogram

This 70yo male presents with sob. He is in a left lateral decub
lateral decub position ... Which diagnosis ... pericard effusion, no signs ... Echocardiogram #clinical ... #cardiology #pericardial
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
y/o M with PMH colon ... diagnosis of SBO ... You do not see signs ... report a very high positive ... #Radiology #POCUS
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... This post will focus