12 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - HCM #Auscultation ... #Cardiac #cardiology ... #physicalexam # ... diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs and Maneuvers ... pulmonary stenosis; MVP ... #Heart #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
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
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
Hepatic Pressure Maneuver ... few seconds → auscultation ... Regurgitation #PhysicalExam ... #diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... , severe right heart ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Cardiac Auscultation - Murmur Intensity Grading
Grade 1	Audible with a good stethoscope in a quiet room
Grade 2	Quiet
Cardiac Auscultation ... Grade 3 Easily heard ... stethoscope #Cardiac #Auscultation ... Intensity #Grading #diagnosis ... #cardiology #physicalexam
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
expiration and Valsalva maneuvers ... orbital bruit on auscultation ... Patient underwent a diagnostic ... clinical #video #ophthalmology ... #physicalexam #
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... case of diastolic heart ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology