104 results
Kussmaul's Sign on Physical Exam

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on
venous pressure (JVP ... inspiration, or a failure ... Neck #Clinical #Video ... #PhysicalExam # ... Cardiology #JVP
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Insufficiency, Liver Failure ... Medications, Spinal Cord Injury ... CO / High SVR, JVP ... CO / High SVR, JVP ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Intra-cardiac pump failure ... • Severe heart failure ... Extra-cardiac pump failure ... findings based on cause ... table #comparison #criticalcare
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... video, the antecubital ... But in rare cases ... Antecubital #Vein #PhysicalExam ... #Clinical #Video
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... (video). ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical
Table of Causes of Acute Liver Injury
#Diagnosis #Hepatology #Acute #Liver #Injury #Causes #Differential #Incidence #Table #Failure
Table of Causes ... of Acute Liver Injury ... #Acute #Liver #Injury ... #Causes #Differential ... Incidence #Table #Failure
Kussmaul's Sign on Physical Exam

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

-
biventeicular failure ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
or acute liver failure ... - Renal failure ... - Respiratory failure ... hyperammonemia #PhysicalExam ... clinical #diagnosis #video
Paradoxical Respirations in Acute Respiratory Failure on Physical Exam

- Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Respirations #Breathing #Respiratory
Acute Respiratory Failure ... #Respiratory #Failure ... #PhysicalExam # ... clinical #video
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Acute Heart Failure ... History of heart failure ... • JVD • S3 ... history of heart failure ... #heartfailure #physicalexam