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

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... pulmonary stenosis; MVP ... #Maneuvers #Heart ... #Cardiology #PhysicalExam ... #Diagnosis
Maneuvers to Identify Systolic Murmurs 
Effect of Squatting and Valsalva:
 - Mitral Valve Prolapse 
 -
Maneuvers to Identify ... Systolic Murmurs ... #Systolic #Murmurs ... Identification #PhysicalExam ... #Diagnosis #Cardiology
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
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... Physical Exam: ↑JVP ... +S4, MR and TR Murmurs ... Endomyocardial: Carcinoid Heart ... #differential #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... , severe right heart ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
Hepatic Pressure Maneuver ... regurgitation murmur ... Regurgitation #PhysicalExam ... #diagnosis #cardiology
Cardiac Auscultation - Murmur Intensity Grading
Grade 1	Audible with a good stethoscope in a quiet room
Grade 2	Quiet
Auscultation - Murmur ... Grade 3 Easily heard ... Loud, obvious murmur ... Intensity #Grading #diagnosis ... #cardiology #physicalexam