12 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 ... #HJR #AJR
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
• Common clinical ... Symptoms: • Acute ... meningeal signs ... • Gram stain: Positive ... 90% • Culture: Positive
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 ... (Sens. 81% for acute ... HF → no signs of
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 ... Bidirectional color ... #cardiology #differential
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 ... of the stomach air ... #Clinical #Radiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... ST elevation in aVR ... V2 • Wellens sign ... deviation) • Acute ... EKG #diagnosis #differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... Signs of congestion ... ECG is vital while ... #diagnosis #differential ... #heartfailure #chf
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 ... Culture (+): Acute ... Marantic (NTBE) Differential ... Regurgitation • Colon
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 ... : • Acute: S. ... Regurgitation • Colon
Recognition of a pneumothorax depends on the volume of air in the pleural space and the
the volume of air ... space and the position ... A sign to look for ... There was an acute ... #Clinical #Radiology