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physicalexam clinical cardiology diagnosis aorticregurgitation neck corrigans differential comparison criticalcare fingernails management quinckes signs table algorithm aorta aortic carotid carotids
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... pressure, pallor ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... pressure, other
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
capillary wedge pressure ... -right atrial pressure ... Diagnosis #PACatheter #NormalValues ... Chambers #Wedge #PCWP ... #Pressures #SVR
Physical Exam - Corrigan's Pulse While the patient was sitting upright, the right carotid artery was visibly
Exam - Corrigan's Pulse ... Corrigan’s pulse ... pressure with large ... fall in arterial pressure ... #PhysicalExam #Video
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 Physical Exam - Quincke’s Pulse The tips of the patient’s index finger and thumb as well as
Exam - Quincke’s Pulse ... Corrigan’s pulse ... pressure with large ... fall in arterial pressure ... #PhysicalExam #Video
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 Dancing Carotids - Corrigan's Pulse in severe Aortic Regurgitation on Physical Exam Patient referred for palpitations and
Carotids - Corrigan's Pulse ... Exam matters... pulse ... pressure > 80 mmHg ... dancing #Corrigans #pulse ... PhysicalExam #clinical #video
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 Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Arterial Line: • Pulse ... : Variation in pulse ... • Pulse Contour ... • PAOP/PCWP: PAOP ... /PCWP approximates
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular) A 70 y/o man presents with new
Quincke's Pulse ... orthopnea/PND, wide pulse ... pressure (~100 ... is identified (video ... realized Quincke's pulse
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 Chest Pain Diagnosis and Management Algorithm STEMI: - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
STEMI: - Hx: Pressure ... PEX: New murmur, Pulse ... COPD, asthma, CF, PCP
Abnormal pulsation in the neck in the setting of Aortic Coarctation 10 yo male, his father
abnormal high blood presure ... absent femoral pulses ... Aorta #Clinical #Video
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 Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
SAP CVP PAP PCWP ... Mean Arterial Pressure ... mmHg SP-DP Pulse ... Pressure RPP ... 60-80 mmHg DP-PCWP
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