11 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
of CHF with reasonable ... Positive reflux= ... #Clinical #Video ... #JVP #VolumeStatus ... #Cardiology #HJR
Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) on Physical Exam

1) Position the patient supine with bed
HJR test Video ... #PhysicalExam # ... clinical #video ... #jvp #cardiology ... Abdominojugular #AJR
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... : Age>60, CKD, CHF ... heart failure, positive ... , and CXR with pulmonary ... Reactions #hematology #diagnosis
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... state (not always AR ... confirm high-output HF ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... shunt (Type 2) Clinical ... 10 minutes of rest ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... with presence of pulmonary ... the determined cause ... #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... determine if stress test ... Change in clinical ... stratification #diagnosis