18 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Positive reflux= ... #PhysicalExam #Clinical ... #VolumeStatus #Cardiology ... #HJR #AJR
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
, a true sign of ... Many authors state ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Infarction • Stable ... Gastro-Esophageal Reflux ... • Trauma - Neurologic ... ChestPain #Noncardiac #Cardiology
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 ... #clinical #video ... #jvp #cardiology ... Abdominojugular #AJR
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 ... Pads in AP position ... Start pacing. ... bradycardia #diagnosis #differential ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... venous pressure, positive ... abdominojugular, reflux ... diagnosis #management #cardiology
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
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... there is a high position ... of the stomach air ... #Clinical #Radiology