12 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= ... #Video #JVP #VolumeStatus ... #Cardiology #HJR
Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) on Physical Exam

1) Position the patient supine with bed
Physical Exam 1) Position ... of >3 cm is a positive ... HJR test Video ... #clinical #video ... #jvp #cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... venous pressure, positive ... abdominojugular, reflux ... bilateral pleural effusions ... → no signs of CXR
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... which rules out CV fusion ... has Kussmaul's sign ... #PhysicalExam #Clinical ... #Video #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
74, JVP 15 cm ASA ... , Kussmaul's sign ... edema, and clear lungs ... circumferential pericardial effusion ... #cardiology
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... Obstructive lung ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... algorithm #management #cardiology ... #heartfailure #chf