12 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Still useful for diagnosis ... of CHF with reasonable ... Hepatojugular #Reflux #PhysicalExam ... Clinical #Video #JVP ... #VolumeStatus #Cardiology
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... ” EI > 1 - POCUS ... echocardiogram #psax ... #diagnosis #cardiology ... #pocus
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
heart failure • JVD ... Examination #chf ... #cardiology #heartfailure ... #physicalexam # ... diagnosis
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... LVOTO #SAM #HOCM #POCUS ... Echocardiogram #ultrasound ... #Cardiology #PLAX
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... of right-sided HF ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... are enough to diagnose ... Hussain Ch @Hussainch ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Crackles/Rales on auscultation ... , JVD, Orthopnea ... importantly, bedside ultrasound ... algorithm #management #cardiology ... #heartfailure #chf
Cardiac Sarcoidosis on Echocardiogram

Spot diagnosis for the fellows. Thinned, dyskinetic basal septum in patient who presents
Echocardiogram Spot diagnosis ... sarcoidosis #cardiac #pocus ... #clinical #ultrasound ... echocardiogram #plax ... #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... confirm high-output HF ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Anterior Akinesia on POCUS ... getting 12 lead ECG, POCUS ... Diagnosis? ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology