9 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Still useful for diagnosis ... #PhysicalExam # ... Clinical #Video #JVP ... #VolumeStatus #Cardiology ... #HJR #AJR
Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

Firm pressure over the liver elicits distension of the jugular
Hepatojugular Reflux ... Abdominojugular #PhysicalExam ... clinical #video #cardiology ... #JVP #neck #jugular ... #HJR #AJR
Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

Firm pressure over the liver elicits distension of the jugular
Hepatojugular Reflux ... Abdominojugular #PhysicalExam ... clinical #video #cardiology ... #JVP #neck #jugular ... #AJR #HJR
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... pulmonary stenosis; MVP ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Maneuvers result ... #Murmurs #Cardiac ... #cardiology #physicalexam ... #diagnosis
Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) on Physical Exam

1) Position the patient supine with bed
Hepato-Jugular Reflux ... Abdominojugular Reflux ... #HJR #PhysicalExam ... #cardiology #Abdominojugular ... #AJR
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... state (not always AR ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... Esophageal spasm • Reflux ... or other vagal maneuvers ... #Palpitations #Cardiology