17 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... for diagnosis of CHF ... Positive reflux= ... #Clinical #Video ... #VolumeStatus #Cardiology
Kussmaul's Sign on Physical Exam

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

-
and other rarer causes ... of right-sided HF ... #physicalexam # ... clinical #video ... #jvp #cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In the supine position ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... where we may see a positive ... #physicalexam # ... diagnosis #cardiology ... causes
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... a patient with signs ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... venous pressure, positive ... → no signs of CXR ... diagnosis #management #cardiology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... • Common clinical ... Acute meningeal signs ... • Gram stain: Positive ... 90% • Culture: Positive
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Case description ... mass and NO prior signs ... or clinical history ... Differential diagnosis ... Tendon Sheath - Nodular