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Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent
Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... overcomes the descent ... • y descent - ... Thus the y descent
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
tachycardia - Absent x descent ... - Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent
Portal Venous Gas on POCUS Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
the result of recent ... procedures - Arizona Ultrasound ... #POCUS #Liver #Ultrasound ... #Clinical
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 Campbell’s sign or Tracheal Descent in Longstanding COPD Patients with longstanding COPD may show downward displacement of
sign or Tracheal Descent ... sign #Tracheal #Descent ... #COPD #clinical
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 Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... #Tracheal #Descent ... #Sign #clinical
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 RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
waves and two descents ... blunting of ‘x’ descent ... with TR - ‘x’ descent ... - ‘y’ descent
Abnormal Jugular Venous Pressure (JVP) Algorithm Outward Wave / Peak • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent
Causes of Erythema Nodosum Common - Idiopathic (up to 55 percent) - Infections: streptococcal pharyngitis (28 to
Idiopathic (up to 55 percent ... pharyngitis (28 to 48 percent ... Drugs (3 to 10 percent ... Pregnancy (2 to 5 percent ... Differential #Diagnosis #Clinical
Lancisi's sign on Physical Exam Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
loss of the x descent ... PhysicalExam #Waveform #Clinical
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