17 results
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
vertical distance relative ... E.g. in a cold room ... But in rare cases ... Antecubital #Vein #PhysicalExam ... Video #estimate #Cardiology
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... infective endocarditis ... #differential # ... #Endocarditis # ... #CNIE #BCNIE #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
tachycardia - Flutter ... waves - Atrial flutter ... Jugular #Waveforms #JVP ... Diagnosis #PhysicalExam ... #cardiology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... fever, Infective endocarditis ... Regurgitation #differential ... #diagnosis #cardiology ... #causes #primary
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... inspiration as the negative ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... causes
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Atrial flutter ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Septic Emboli Cause ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Causes include: ... level <100 pg/ml EKG ... #edema #NCPE #differential ... #diagnosis #cardiology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... but important causes ... special stains (e.g ... #Infective #Endocarditis ... #diagnosis #differential