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cardiology physicalexam diagnosis clinical sign video neck kussmauls lancisis regurgitation renal tricuspid causes differential dosing nephrology pharmacology abdominojugular acute afib
Definitions of AKI, CKD, AKD Acute Kidney Injury (AKI): • Increase in SCr by 2 50% within
Kidney Disease (CKD ... ): • GFR < 60 ... • AKI, OR • GFR ... ): • GFR ≥ 60 ... per 1.73 m2 • Stable
Severe Tricuspid Regurgitation on JVP Examination What information about the patient do we get from this #JVP
Regurgitation on JVP ... get from this #JVP ... Regurgitation #TR ... Lancisis #Sign #JVP
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 Abdominojugular (Hepatojugular) Reflux Described by Pasteur in 1885 as a physical sign of TR. Still useful for
physical sign of TR ... Clinical #Video #JVP
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 Adjusted Pain Medication Dosing based on GFR #Renal #Dosing #Pain #Pharmacology #Opiates #CKD #Gabapentin #Table
Dosing based on GFR ... Pharmacology #Opiates #CKD ... #Gabapentin #Table
Summary of dosing recommendations in renal impairment of commonly used hypoglycaemic agents #Diabetes #Diabetic #Medications #Pharmacology #Dosing
Renal #Impairment #CKD ... #Table #GFR #Hypoglycemics
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Physical Exam: ↑JVP ... Rales,+S4, MR and TR ... Amyloid, Wild Type TTR ... , Senile TTR),
Kussmaul's Sign on Physical Exam What’s the diagnosis? Severe biventeicular failure with + Kussmaul sign! NICM. No constriction! -
cardiomyopathy, severe TR ... clinical #video #jvp
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 RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform ... venous pressure (CVP ... ’ descent with TR ... pericarditis (CP), ↓ with TR ... systole). ↑ in TR
Cardiac Murmurs and Maneuvers An algorithm demonstrating the effect of various maneuvers on systolic murmurs. TR, tricuspid
TR, tricuspid regurgitation ... pulmonary stenosis; MVP
Kussmaul's Sign - Differential Diagnosis Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... stenosis, and severe TR
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