8 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... CO / High SVR, JVP ... CO / High SVR, JVP ... CO / High SVR, JVP ... Diagnosis #Types #criticalcare
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
monomorphic venous pulsation ... It is caused by ... backwards into the jugular ... #Video #Neck #Jugular ... #JVP #Cardiology
Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.
Jugular Venous Pressure ... Tricuspid Regurgitation ... Complete AV Block #Jugular ... Waveform #Patterns #JVP ... Cardiology #diagnosis #differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Severe Tricuspid Regurgitation ... large systolic jugular ... venous wave caused ... Cardiology #Neck #Jugular ... #JVP
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Pressure Waveforms - Differential ... tamponade #Abnormal #Jugular ... #Waveforms #JVP ... #Differential #
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Low JVP ... #Hypotension #Differential ... Diagnosis #Algorithm #causes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... essentially Cardiogenic Shock ... the determined cause ... #diagnosis #differential ... heartfailure #chf #criticalcare