121 results
Checklist for SBT with Suspected Cardiovascular Causes of Failure in Mechanical Ventilation Weaning

#Mechanical #Ventilation #Weaning #SBT
Checklist for SBT ... Cardiovascular Causes ... of Failure in Mechanical ... #Management #Cardiovascular ... #Failure #Diagnosis
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... of Mitral Regurgitation ... chronic mitral regurgitation ... chronic mitral regurgitation ... diagnosis #cardiology #causes
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Severe Tricuspid Regurgitation ... jugular venous wave caused ... by tricuspid regurgitation ... sign #Tricuspid #Regurgitation ... Neck #Jugular #JVP
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... Intra-cardiac pump failure ... • Severe heart failure ... Extra-cardiac pump failure ... findings based on cause
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
descent - Tricuspid regurgitation ... waves - Tricuspid regurgitation ... severe right heart failure ... , tricuspid regurgitation ... Jugular #Waveforms #JVP
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
Left-Sided Heart Failure ... Stenosis • Mitral Regurgitation ... Stenosis • Aortic Regurgitation ... • Aortic Regurgitation ... Diagnosis #Algorithm #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... paradoxical rise in JVP ... Causes = RV failure ... pericarditis (this case ... Clinical #Neck #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Severe Tricuspid Regurgitation ... severe tricuspid regurgitation ... It is caused by ... Sign #Tricuspid #Regurgitation ... Neck #Jugular #JVP
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... consultation • Valve regurgitation ... causing heart failure ... • Aggressive management ... #Endocarditis #checklist
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Physiologic Causes ... Pathologic Causes ... High output heart failure ... Trauma • Heart Failure ... Pathophysiology #causes