23 results
Hand Vein examination to estimate JVP/CVP

Dr. André Mansoor @AndreMansoor - Author of Frameworks for Internal Medicine
examination to estimate JVP ... /CVP Dr. ... AndreMansoor - Author of Frameworks ... #PhysicalExam #JVP ... VenousPressure #CVP
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Differential Diagnosis Framework ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... paradoxical rise in JVP ... AndreMansoor - Author of Frameworks ... Clinical #Neck #JVP
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Kussmaul's (JVP ... AndreMansoor - Author of Frameworks ... Friedreichs #Neck #JVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV ... have elevated JVP ... AndreMansoor - Author of Frameworks ... #Giant #PHTN #JVP
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
AndreMansoor - Author of Frameworks ... diagnosis #cardiology #CVP
Q-Tip Visualization of Venous Pressure Waveform on Neck Physical Examination

Ever been told not to bother looking
AndreMansoor - Author of Frameworks ... #Waveform #JVP ... #CVP #Neck #QTip
Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @
Note her JVP waveform ... AndreMansoor - Author of Frameworks
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework

Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Diagnosis and Management ... Framework Central ... ≤ 65 yo; no CVD ... > 65 yo or CVD ... #hypothyroid #Management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... pressure (MAP – CVP ... Pediatrics #Sepsis #Management