40 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
CO / High SVR, JVP ... CO / High SVR, JVP ... • Pulmonary Embolism ... CO / High SVR, JVP ... Diagnosis #Types #criticalcare
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign in Constrictive ... you evaluate her JVP ... paradoxical rise in JVP ... Causes = RV failure ... Clinical #Neck #JVP
Kussmaul's Sign on Physical Exam

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

-
No constriction! ... DDx includes constriction ... and other rarer causes ... clinical #video #jvp
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Cardiovascular Causes ... Pericardium: - Constrictive ... - Tamponade Pulmonary ... Vasculature: - PE - Pulmonary ... #pulmonary
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... regurgitation, constrictive ... Rapid y descent - Constrictive ... Jugular #Waveforms #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 ... the underlying cause ... Kussmaul's (JVP ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... Tamponade • Constrictive ... Pneumonia • Pulmonary ... embolism • Pulmonary ... Diagnosis #Algorithm #Causes
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
(LCDD), Cystic Pulmonary ... Bronchiolitis, Pulmonary ... Papillosis, Constrictive ... differential #diagnosis #causes ... #pulmonary
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... table #comparison #criticalcare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Tamponade* • Constriction ... Pleural Thickening/Masses ... Vessels • Pulmonary ... Diagnosis #Algorithm #Causes