38 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... with + Kussmaul sign ... Kussmaul's sign ... inability of the right heart ... cardiomyopathy, severe TR
De Musset's sign of venous origin - Lateral Head Bob (Heart rate ~130 bpm.)

De Musset's of
De Musset's sign ... Lateral Head Bob (Heart ... fusion) of severe TR ... origin" Severe TR ... TricuspidRegurgitation #TR
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Underlying structural heart ... Regurgitation #TR ... #Lancisis #Sign
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
• Evaluate for signs ... Evaluate severity of TR ... causes of PH (left heart
"Playboy Bunny" sign, seen w/hepatic congestion due to R heart failure.

Dr. Josie Acuna @jgacuna

#Hepatic #Congestion #Bunny
Playboy Bunny" sign ... congestion due to R heart ... Congestion #Bunny #Sign ... Liver #Ultrasound #POCUS
Obstetric Ultrasound Pocket Card
1st Trimester Checklist:
 • Look for signs of an IUP
 • Gestational dating
: • Look for signs ... Measure fetal heart ... Measure fetal heart ... Evaluate placenta POCUS ... Obstetrics #Ultrasound #POCUS
Symptoms of Hypophosphatemia
 • CNS: Seizures, Delirium, Paresthesias, Central & extrapontine myelinolysis, Hallucinations, Fatigue
 • Hematologic:
, Arrhythmias, Heart ... Bone pain • MSK ... Phosphate #Symptoms #Signs
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
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Right Heart Catheterization ... e.g., PE, right heart ... accurate in severe TR ... Fick in severe TR ... Ahmed Ghoneem, MD MSc
Hypotension in Anesthesiology - Differential Diagnosis and Management 

Initial checklist: 
 - Verify BP (e.g. surgeon
Check other vital signs ... (heart rate, CO2 ... Inform surgeon (ask
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
RiHTh = right heart ... and McConnell sign ... view E. 60/60 sign ... pulmonary ejection ms ... Right heart mobile