8 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
; PS, pulmonary ... stenosis; MVP/MR ... Maneuvers #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... atrial myxoma, pulmonary ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic pulmonary ... consultation • Valve regurgitation ... block (+/- daily EKG ... #criticalcare #diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... crackles, elevated JVP
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... Marantic: Emboli > Regurgitation ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... auscultation, JVD ... with presence of pulmonary ... ECG is vital while ... #algorithm #management