16 results
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Internal Jugular ... Rouleaux Flow on POCUS ... echogenic as in this case ... Flow #Internal #Jugular ... #IJ #Vein #POCUS
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Physical Exam The case ... there is a drop in SaO2 ... to 90% (and in paO2 ... Orthodeoxia #Syndrome #PhysicalExam
Jugular Venous Pressure Measurement
Examiner places the patient in a reclined position and puts the base of
Jugular Venous Pressure ... position and puts the base ... #Diagnosis #PhysicalExam
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... descent of the base ... #Waves #Jugular ... Waveforms #JVP #PhysicalExam
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Diarrhea - Renal tubular ... bloodgas #Acid #Base
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... Cardiology #Neck #Jugular
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
/P Osm) Trans Tubular ... Osmolar Gap ACID-BASE ... pCO2 = 1.5 (HCO3 ... )/HCO3 Acid base ... < 50 mmHg Pa02
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
simultaneously at regular ... This tracing plus regular ... to diagnose the case ... Awaves #AVNRT #PhysicalExam
Intestinal Ascariasis on Point of Care Ultrasound (POCUS)

Ultrasound of tubular structure with echogenic walls in dilated
Care Ultrasound (POCUS ... Ultrasound of tubular ... obstruction (as in this case ... Ascariasis #Ultrasound #POCUS
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
pericarditis (this case ... Kussmauls #Sign #PhysicalExam ... Clinical #Neck #JVP #Jugular