29 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 ... Hepatojugular #Reflux #PhysicalExam ... #VolumeStatus #Cardiology
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
Landolfi’s Sign ... with shortness of breath ... as Landolfi’s sign ... #PhysicalExam # ... AorticRegurgitation #Cardiology
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... with + Kussmaul sign ... of right-sided HF ... #physicalexam # ... clinical #video #jvp #cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
• With Every Beat ... Fusion of Lancisi Sign ... Not with Every Beat ... Algorithm #diagnosis #cardiology ... #physicalexam
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
, shortness of breath ... s the clinical sign ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... rhythm (initial 3 beats ... #Lancisis #sign ... Regurgitation #PhysicalExam ... #Cardiology #Neck
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
blood donor • Pathophysiology ... : Age>60, CKD, CHF ... transfusion • Pathophysiology ... Criteria - At least ... fluid balance, and CXR
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
ATRA treatment Pathophysiology ... damage • Induce blast ... 5 or elevated Cr ... common • Imaging: CXR ... sepsis), PE, DAH, CHF
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... diagnosis #management #cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... should drop at least ... The Kussmaul sign ... #PhysicalExam # ... #Neck #Veins #Cardiology