17 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... for diagnosis of CHF ... Positive reflux= ... #PhysicalExam #Clinical ... #VolumeStatus #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... venous pressure, positive ... abdominojugular, reflux ... diagnosis #management #cardiology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... • Common clinical ... Acute meningeal signs ... • Gram stain: Positive ... 90% • Culture: Positive
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... that’s called “clinical ... Hussain Ch @Hussainch ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... Pads in AP position ... bradycardia #diagnosis #differential ... #management #cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
space (blood) • Color ... poor prognostic signs ... • Typically ↑ mitral ... Infarction #acuteMI #cardiology ... #differential #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... ECG is vital while ... #diagnosis #differential ... algorithm #management #cardiology ... #heartfailure #chf
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
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 ... Marantic (NTBE) Differential ... Regurgitation • Colon ... diagnosis #management #cardiology