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clinical video diagnosis neurology differential ophthalmology ocular msk cardiology orthopedics sports causes test algorithm sign management slitlamp pediatrics fundoscopy nephrology
Superior Vena Cava Syndrome on Physical Exam Prominent dilated collateral veins are seen bypassing the SVC obstruction #SVC
Superior Vena Cava Syndrome ... bypassing the SVC ... obstruction #SVC ... Superior #Vena #Cava #Syndrome ... #PhysicalExam #
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 Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... third-spacing • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... anaphylaxis, release syndrome ... toxins • ↑ CO, ↓ SVR
Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs
Heart vs SVR Heart ... subclavian steal syndrome ... > fast or slow SVR
Lead aVR on EKG Lead aVR can provide some unique insight into 5 different conditions: - Acute
Lead aVR on EKG ... Lead aVR can provide ... Differentiating VT from SVT ... EKG #ECG #Lead #AVR
Pemberton's Sign caused by a Retrosternal Thyroid Goiter Elevating the arms causes the previously flat neck veins
superior vena cava syndrome ... Thyroid #Goiter #PhysicalExam ... vascular #neck #mass #SVC ... #Syndrome #otolaryngology
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 Pemberton's Sign - Thoracic Outlet Syndrome The Pemberton maneuver is a physical examination tool used to demonstrate
Thoracic Outlet Syndrome ... (SVC), commonly ... Pembertons #Sign #PhysicalExam ... Clinical #Video #SVC ... #Syndrome #Vascular
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 Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... Inotropy > Increase SVR ... Inotropy, Decrease SVR
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
1500 d/s/cm5) (SVR ... -120 d/s/cm5) (PVR ... ml/beats/m2) (SVI ... [MAP – PCWP] x SVI ... mean PAp – CVP] x SVI
Algorithm for Suspected SVC Syndrome SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
for Suspected SVC ... Syndrome SVC ... syndrome suspected ... Syndrome Grading ... #Syndrome #Algorithm
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... Low CO / High SVR
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