20 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!

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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
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... venous pressure, positive ... Kerley B lines, alveolar ... → no signs of CXR ... diagnosis #management #cardiology
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
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
supine or erect position ... left decubitus position ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar
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
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
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... chronic illness, clinical ... filling of the alveoli ... in fact this is nodular ... #Radiology #CXR