15 results
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 ... Hepatojugular #Reflux #PhysicalExam ... Clinical #Video #JVP ... #VolumeStatus #Cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
guideline-directed medical ... cardioverter-defibrillator; LV ... circulatory support; and MI ... #CHF #Congestive ... Algorithm #Management #Cardiology
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
heart failure • JVD ... Examination #chf ... #cardiology #heartfailure ... #physicalexam # ... diagnosis
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Severe LV dysfunction ... Recurrent/persistent rest ... despite intensive medical ... New/worsening MR ... catheterization #cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
filling (impaired LV ... electrocardiogram, MI ... pulmonary venous flow, Vp ... #Diagnosis #Cardiology
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... of right-sided HF ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
pulmonary stenosis; MVP ... /MR, mitral valve ... Maneuvers #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... are enough to diagnose ... Hussain Ch @Hussainch ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... May have typical HF ... deteriorating on medical ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
fatigue, altered mental ... auscultation, JVD ... may benefit from LV ... algorithm #management #cardiology ... #heartfailure #chf