10 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation Maneuvers ... for Murmurs Maneuvers ... result in INCREASED murmur ... #cardiology #physicalexam ... #diagnosis
Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

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

Firm pressure over the liver elicits distension of the jugular
Hepatojugular Reflux ... Hepatojugular #Reflux ... Abdominojugular #PhysicalExam ... clinical #video #cardiology ... #AJR #HJR
Maneuvers to Identify Systolic Murmurs 
Effect of Squatting and Valsalva:
 - Mitral Valve Prolapse 
 -
Maneuvers to Identify ... Systolic Murmurs ... #Systolic #Murmurs ... Identification #PhysicalExam ... #Diagnosis #Cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... and Maneuvers ... on systolic murmurs ... #Cardiology #PhysicalExam ... #Diagnosis
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Hepatojugular) Reflux ... Still useful for diagnosis ... #PhysicalExam # ... #VolumeStatus #Cardiology ... #HJR #AJR
Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) on Physical Exam

1) Position the patient supine with bed
Hepato-Jugular Reflux ... Abdominojugular Reflux ... degrees. 2) Look at jugular ... #HJR #PhysicalExam ... clinical #video #jvp #cardiology
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
Hepatic Pressure Maneuver ... regurgitation murmur ... Regurgitation #PhysicalExam ... #diagnosis #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: elevated jugular ... abdominojugular, reflux ... pressure ratio 0.25), murmur ... un lymphatic Diagnostic ... #management #cardiology
Palpitations - Differential Diagnosis Framework

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