38 results
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Acute Heart Failure ... Exacerbation - Diagnostic ... failureJVD ... Examination #chf ... #cardiology #heartfailure
Decompensated Heart Failure Classification
Wet (volume overloaded) vs Dry (euvolemic) and Cold (low cardiac output) vs Warm
Decompensated Heart ... Failure Classification ... and Cold (low cardiac ... Classification #CHF ... #diagnosis #cardiology
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
CHF - Left-Sided ... Heart Failure - ... Differential Diagnosis ... Constriction #CHF ... #HeartFailure #Cardiology
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Regurgitation on JVP ... Cardiac rhythm? ... Underlying structural heart ... #PhysicalExam #Clinical ... #Video #Cardiology
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... biventeicular failure ... inability of the right heart ... #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 ... of CHF with reasonable ... #PhysicalExam #Clinical ... #Video #JVP #VolumeStatus ... #Cardiology #HJR
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... beats: • Left heart ... failure Pulsus ... pressure >10mmHg: • Cardiac ... Abnormalities #Disorders #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
There is an extra heart ... the underlying diagnosis ... Causes = RV failure ... #Clinical #Neck ... Pericarditis #Cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
failure. ... patients after cardiac ... #PhysicalExam #Video ... #Clinical #JVP ... #Neck #Veins #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... shock, sudden cardiac ... failure therapy ... #Management #Cardiology