24 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Diagnosis SHOCK ... CO / High SVR, JVP ... CO / High SVR, JVP ... CO / High SVR, JVP ... #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP ... #comparison #criticalcare
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 ... PhysicalExam #Video #Clinical ... #Neck #JVP #Jugular
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 ... Kussmaul's (JVP ... Friedreichs #Neck #JVP ... #PhysicalExam #Clinical
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #physicalexam #diagnosis ... #cardiology #differential
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... are enough to diagnose ... excludes other differentials ... that’s called “clinical ... #PhysicalExam #JVP
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... status (edema, JVD ... drug history #Diagnosis ... #EM #IM #Nephro ... Pseudohyponatremia #Differential
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Still useful for diagnosis ... #PhysicalExam #Clinical ... #Video #JVP #VolumeStatus
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... What’s the diagnosis ... with + Kussmaul sign ... #physicalexam #clinical ... #video #jvp #cardiology
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
fever, what’s the clinical ... sign shown , what ... ’s the diagnosis ... #PhysicalExam #JVP