15 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
regurgitation; PS, pulmonary ... stenosis; MVP/MR ... ventricular septal defect ... Maneuvers #Heart #Cardiology ... #PhysicalExam #
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
cardiomyopathy, massive pulmonary ... patients after cardiac ... #PhysicalExam # ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... atrial septal defect ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
IJ vein seen on POCUS ... and S-reversal ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... reflects conditions ... #physicalexam # ... diagnosis #cardiology
POCUS Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
- Table of Cardiac ... Views and Windows ... Flow Doppler #Anatomy ... #POCUS #Cardiac ... Echocardiography #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... has Kussmaul's sign ... have elevated JVP ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... with suspected pulmonary ... heart disease and ... #PhysicalExam # ... #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... sign, marked pedal ... (A) a dilated inferior ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... CARDIAC POWER OUTPUT ... PCWP - RAP • Reflects ... cardiac output estimates ... catheter #diagnosis #cardiology