vagal clinical - GrepMed

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Vagus Nerve Schwannoma eliciting paroxysmal cough when palpated

The cough reflex is caused by stimulation of vagal

stimulation of vagal ... #physicalexam #clinical

Modified Valsalva Maneuver

43% vs 17% response compared to the standard valsalva maneuver

1) Position patient with legs

Maneuver #SVT #Clinical ... Video #REVERT #vagal

Cushing's Reflex - Pathophysiology
HYPERTENSION with a reflex BRADYCARDIA
→ ↑ ICP
→ ↓ CBF
→

Baroreceptor stim → Vagal

Modified Valsalva Maneuver for SVT patients.

43% vs 17% response compared to the standard valsalva maneuver

1)

Maneuver #SVT #Clinical ... Video #REVERT #vagal

Cranial Nerve X - Vagus Nerve - Cross Sectional Nuclei Anatomy
• Vagus Nerve
• Nucleus

• Dorsal Motor Vagal

Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and

stable AVNRT is vagal ... Procedure #SVT #vagal

Pediatric SVT - Management Algorithm
Identify SVT:
• HR not variable
• Abrupt rate changes
• Infants:

• Vagal Maneuvers

Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex

variability • Tx: Vagal

Digoxin 101 - Pharmacology
Indications:

1) Tachyarrhythmias
• Atrial Fibrillation, Atrial Flutter, Supraventricular Tachycardias
• ↑ Vagal

Tachycardias • ↑ Vagal

Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
• Rest angina attributed to coronary artery vasospasm.
• Patients often

• Imbalance of vagal

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