13 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
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
heart failure • JVD ... Examination #chf ... #cardiology #heartfailure ... #physicalexam # ... diagnosis
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
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
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
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
PMHx recent CHF, ... then the next tests ... are not POCUS: serial ... cultures, cardiac MRI ... A4C #clinical #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
PMHx recent CHF, ... then the next tests ... are not POCUS: serial ... cultures, cardiac MRI ... PSAX #clinical #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
LVEDd > 6.0 cm, LV thrombus ... ancestry, LGE on MRI ... May have typical HF ... deteriorating on medical ... #management #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... serum creatinine, test ... TEE to exclude thrombus ... Fibrillation #AFib #diagnosis ... #management #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... confirm high-output HF ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology