13 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... (video). ... Causes = RV failure ... Frameworks for Internal ... #PhysicalExam #Video
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... demonstrated in the video ... the underlying cause ... Frameworks for Internal ... PhysicalExam #Clinical #Video
Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
I-JIP: usual interstitial ... Delestre (Fellow in Internal ... #Differential #Comparison ... #Table #Pulmonary
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... Frameworks for Internal ... #Giant #PHTN #JVP ... PhysicalExam #Clinical #Video
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
distinguishing between causes ... absent Jacobi Internal ... differential #diagnosis #comparison ... #table
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... is identified (video ... Workup for cause ... EtOH causes thiamine ... Frameworks for Internal
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... elevated BNP, high CVP ... diuresis SCVMC Internal ... hematology #diagnosis #comparison ... #table
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
dose at weekly intervals ... necessary at 1-wk intervals ... hypokalemia); nausea ... #pharmacology #table ... #comparison #binders
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Osmostat Stanford Internal ... differential #diagnosis #table