17 results
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... PCWP • Exam: ↓ JVP
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... symptoms (HA, nausea ... status (edema, JVD ... #EM #IM #Nephro ... #Differential #Algorithm
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... paradoxical rise in JVP ... Causes = RV failure ... #Neck #JVP #Jugular
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
- Differential Diagnosis ... Algorithm Warm ... Distributive Shock - Low JVP ... #Differential #Diagnosis ... #Algorithm #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... Friedreichs #Neck #JVP
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... dual-chamber PPM set for DDI ... #PhysicalExam #JVP ... #Clinical #Video
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... and other rarer causes ... #physicalexam #clinical ... #video #jvp #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... are enough to diagnose ... the case as Typical ... that’s called “clinical ... #PhysicalExam #JVP
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... and Causes Clinical ... Physical Exam: ↑JVP ... #Causes #differential ... #cardiology #algorithm
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... #PhysicalExam #Clinical