11 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= ... #VolumeStatus #Cardiology ... #HJR #AJR
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Infarction • Stable ... Gastro-Esophageal Reflux ... • Trauma - Neurologic ... ChestPain #Noncardiac #Cardiology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma: a state ... consciousness Differential ... previous gaze position ... • Examine for signs ... #PhysicalExam #neurology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... Pads in AP position ... bradycardia #diagnosis #differential ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... abdominojugular, reflux ... Less Specific Signs ... diagnosis #management #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 ... of the stomach air ... #Clinical #Radiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... ST elevation in aVR ... V2 • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... leads with STE in avR ... electrocardiogram #cardiology ... Interpretation #differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... #diagnosis #differential ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
= high-output state ... (not always AR) ... confirm high-output HF ... highest on my differential ... Fingernails #Nailbed #Cardiology