19 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... pulmonary stenosis; MVP ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Regurgitation on JVP ... Cardiac rhythm? ... Underlying structural heart ... #PhysicalExam # ... Clinical #Video #Cardiology
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Maneuvers result ... #Murmurs #Cardiac ... #cardiology #physicalexam ... #diagnosis
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Exacerbation - Diagnostic ... failure • JVD ... Examination #chf #cardiology ... #heartfailure #physicalexam ... #diagnosis
Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 •
Right Heart Cath ... - Normal Cardiac ... Venous Pressure (CVP ... Pressures #RHC #cardiology ... #diagnosis
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Muffled heart sounds ... sounds, JVD and ... #Pericardial #Cardiac ... #Becks #Triad #Diagnosis ... #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
, severe right heart ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... There is an extra heart ... the underlying diagnosis ... Kussmauls #Sign #PhysicalExam ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... inability of the right heart ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
Interpreting Right Heart ... What is the cardiac ... Were any maneuvers ... Catheterization #RHC #diagnosis ... #hypertension #cardiology