19 results
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... small blue-colored spot ... #Friedreichs #Neck ... #JVP #PhysicalExam
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... airway / remove mask ... #Ventilation #diagnosis ... #management #indications ... #pulmonary #interfaces
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... , Volume Exam (JVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Diagnosis - Absent ... atrial myxoma, pulmonary ... Jugular #Waveforms #JVP ... #Differential # ... Diagnosis #PhysicalExam
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... infographic by Nick ... prognostication #diagnosis ... #management #stratification
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... the exhalation ports ... • FiO2 ~80% Nick ... Delivery #Devices #management ... #pulmonary #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... - Distended neck ... Tamponade - Pulmonary ... crackles, elevated JVP
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
multiplex WORKUP & DIAGNOSIS ... coagulopathy) • CBC w differential ... crescentic GN by Nick ... Renal #Syndromes #differential ... #diagnosis #management