39 results
Checklist for SBT with Suspected Cardiovascular Causes of Failure in Mechanical Ventilation Weaning

#Mechanical #Ventilation #Weaning #SBT
Checklist for SBT ... Cardiovascular Causes ... of Failure in Mechanical ... #Management #Cardiovascular ... #Failure #Diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... • Severe heart failure ... findings based on cause ... #Differential #Diagnosis ... table #comparison #criticalcare
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Pericarditis #Cardiology
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 ... biventeicular failure ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Exacerbation - Diagnostic ... • JVD • S3 ... Examination #chf #cardiology ... #heartfailure #physicalexam ... #diagnosis
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Most likely diagnosis ... the underlying cause ... #PhysicalExam # ... Clinical #Video #Cardiology
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
paradoxical increase or failure ... fall of mean #JVP ... severe right heart failure ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... severe right heart failure ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
Deficiency in Heart Failure ... Chronic heart failure ... → Inflammation causes ... endpoint of all-cause ... #management #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... causing heart failure ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management