19 results
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
heart failure • JVD ... Examination #chf ... #cardiology #heartfailure ... #physicalexam #
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
for diagnosis of CHF ... Hepatojugular #Reflux #PhysicalExam ... #Clinical #Video ... #JVP #VolumeStatus ... #Cardiology #HJR
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... • Chronic Lung ... Veno-Occlusive Disease #RHF ... #RightSided #HeartFailure ... #Cardiology #Differential
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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of right-sided HF ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... have elevated JVP ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... that’s called “clinical ... Hussain Ch @Hussainch ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @
heave using a long ... Note her JVP waveform ... #Heave #QTip #PhysicalExam ... #Clinical #Video ... PrecordialImpulse #Cardiology
Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
Patient with severe pulmonary ... Hussain Ch @Hussainch ... #CephalicVein #PhysicalExam ... #Cardiology #Clinical
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
cardiomyopathy, massive pulmonary ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... #JVP #Neck #Veins ... #Cardiology