20 results
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... Most of the time JV ... > overestimate JVP ... #PhysicalExam #JVP ... #estimation #Clinical
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... paradoxical rise in JVP ... Causes = RV failure ... #Clinical #Neck ... #JVP #Jugular #
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
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!

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What’s the diagnosis ... and other rarer causes ... #physicalexam #clinical ... #video #jvp #cardiology
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Still useful for diagnosis ... #PhysicalExam #Clinical ... #Video #JVP #VolumeStatus
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 ... drug history #Diagnosis ... #EM #IM #Nephro
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 ... #Video #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