78 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= ... #VolumeStatus #Cardiology
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... pressure supports the work ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare #Cardiology
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation - ED Management ... glenoid) • ED Management ... I week MH/CCF ... Dislocation #Anterior #Radiology ... XRay #Diagnosis #Management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
all carpal bones should ... "Terry Thomas" sign ... ("Terry Thomas sign ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... patients (ie., CHF ... status • Won't Work ... #criticalcare #management
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm
Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
class II and Ill HF ... carboxymaltose should ... iron #deficiency #CHF ... heartfailure #diagnosis #management ... #algorithm #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... where we may see a positive ... physicalexam #diagnosis #cardiology ... #differential #
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
blood pressure; HF ... &Higher dose should ... Diuretic #Diuresis #CHF ... #HeartFailure #Cardiology ... #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... heartfailure #diagnosis #management ... #cardiology #pharmacology ... #sCHF
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
stomach bubble should ... a patient with signs ... of CHF. ... there is a high position ... #Clinical #Radiology