19 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
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... where we may see a positive ... physicalexam #diagnosis #cardiology ... #differential #
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Acute meningeal signs ... • Gram stain: Positive ... 90% • Culture: Positive ... indicator to differentiate
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... Less Specific Signs ... Chest x-ray: signs ... diagnosis #management #cardiology
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
• Evaluate for signs ... shunt lesions) • Differentiate ... Echocardiography #diagnosis #cardiology ... #echocardiogram
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
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... ’s called Frog sign ... Hussain Ch @Hussainch ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
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 ... #Clinical #Radiology ... #CXR #CHF #Pleural
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... on POCUS Echocardiogram ... - PSAX Positive ... #POCUS #Echocardiogram ... PSAX #clinical #cardiology