12 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Positive reflux= ... #PhysicalExam # ... Clinical #Video ... #VolumeStatus #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... where we may see a positive ... #physicalexam # ... diagnosis #cardiology ... #differential #
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... that small blue-colored ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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 #
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
Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) on Physical Exam

1) Position the patient supine with bed
Physical Exam 1) Position ... of >3 cm is a positive ... #HJR #PhysicalExam ... #clinical #video ... #jvp #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 ... Marantic (NTBE) Differential ... Regurgitation • Colon ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... ECG is vital while ... #diagnosis #differential ... algorithm #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... involves aortic and mitral ... cases Culture Positive ... Regurgitation • Colon ... #Diagnosis #cardiology