Evaluation of JVP
Transcript of the video: Now we will discuss the basic principles of evaluation of jugular venous pressure and jugular venous pulse. These are assessed in the internal jugular vein and not in the external jugular vein. To revise the anatomy lessons, this is the external jugular vein and this is the internal jugular vein. Now, why we should not be looking at external jugual vein, though it is much easier to find out is that, in lower portion, it may be kinked so that it may not reflect the true right atrial pressure. The whole purpose of assessing the jugular venous pressure and pulse is that it reflects the right atrial pr...
Source: Cardiophile MD - March 21, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Rheumatic heart disease – Cardiology Basics
Rheumatic heart disease – Cardiology Basics
Rheumatic heart disease is a group diseases which occur secondary to heart valve damage from rheumatic fever. Rheumatic fever is a disease in which antibodies produced by the body against streptococci cross react with different tissues in the body, especially the heart.
Group A beta hemolytic streptococci causing sore throat are involved in the pathogenesis of rheumatic fever. Most of the long term damage following rheumatic fever is caused by damage to heart valves . Initial manifestation of rheumatic fever is with polyarthritis, usually of the large joints.
But it does no...
Source: Cardiophile MD - October 22, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Pulmonary stenosis – Cardiology Basics
Pulmonary stenosis – Cardiology Basics
Pulmonary stenosis is most often congenital, though occasionally it can occur in carcinoid syndrome and related disorders. Dysplastic pulmonary valve occurs in Noonan’s syndrome. Pulmonary stenosis increases the workload of the right ventricle, which gets hypertrophied in an attempt to overcome the obstruction. Hypertrophied right ventricle becomes less compliant, increasing its filling pressure.
Decrease in right ventricular compliance increases right atrial pressure. This will be more when the right ventricle fails ultimately. Forceful right atrial contraction produces a...
Source: Cardiophile MD - October 18, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Rheumatic tricuspid stenosis
Rheumatic tricuspid stenosis is often associated with mitral valve disease. As in rheumatic mitral stenosis, there is commissural fusion in rheumatic tricuspid stenosis. Anteroseptal commissure between the anterior and septal leaflets of the tricuspid valve is the one which is most commonly involved. Tricuspid valve being the largest valve in the body, a gradient of 2 mm Hg across it will qualify for tricuspid stenosis. A gradient of 5 mm Hg would mean severe tricuspid stenosis where as the corresponding gradient in severe mitral stenosis is 20 mm Hg.
Severe tricuspid stenosis causes right atrial hypertrophy and prominent...
Source: Cardiophile MD - October 9, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: HBC Ascites precox giant a waves Slow y descent Source Type: blogs
Hepatic signs – MCQ – Answer
Hepatic signs – MCQ – Answer
Pick out the wrong statement – Correct answer: b) Presystolic hepatic pulsations are noted in tricuspid regurgitation
Presystolic hepatic pulsations are noted in tricuspid stenosis with sinus rhythm, due to forceful right atrial contraction which occurs just before systole. Systolic hepatic pulsations are noted in tricuspid regurgitation. Though hepatomegaly is usually tender in recent onset heart failure, in chronic cases it becomes non tender. Pulsations of liver in constrictive pericarditis follow that pattern in jugular venous pulse. In abdominojugular reflux, firm pressur...
Source: Cardiophile MD - March 27, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Medicine MCQ - CVS Source Type: blogs
Hepatic signs – MCQ
Hepatic signs – MCQ
Pick out the wrong statement:
a) Hepatomegaly in chronic heart failure can be non tender
b) Presystolic hepatic pulsations are noted in tricuspid regurgitation
c) Pulsatile hepatomegaly can be seen in constrictive pericarditis
d) Abdominojugular reflux (earlier called “hepatojugular reflux”) can be noted in right heart failure
Post your answer as a comment below (Source: Cardiophile MD)
Source: Cardiophile MD - March 26, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Medicine MCQ - CVS Source Type: blogs
A Troublesome Cup of Tea
A 45-year-old woman presented to the emergency department with nausea and vomiting. Her symptoms had started seven days earlier and steadily worsened. She reported generalized abdominal pain and distention and that her eyes appeared yellow.The patient had no past medical history, took no medications, and said she did not drink or use drugs. Her history showed that she had been drinking an herbal preparation every day for the past five months to ameliorate her heavy menstrual periods.The patient had mild right upper quadrant tenderness but no distention, rebound, or guarding. Her lungs were clear, and her heart rate and rhy...
Source: The Tox Cave - July 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Medicine MCQ Test Series 1
This Medicine MCQ Test Series contains 20 questions which can be attempted over 40 seconds each. After submission, answers and discussion will be displayed.
Medicine MCQ Test Series 1
Time limit: 0
Quiz-summary
0 of 20 questions completed
Questions:
1
2
3
4
5
6
7
8
9
10
11
...
Source: Cardiophile MD - January 27, 2019 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Medicine MCQ - CVS Source Type: blogs
Tropical Travel Trouble 009 Humongous HIV Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 009
The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with a low ...
Source: Life in the Fast Lane - July 7, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
Tropical Travel Trouble 005 RUQ Pain and Jaundice
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 005
Guest Post: Dr Branden Skarpiak – Global Health Fellow, Department of Emergency Medicine. UT Health San Antonio
A 35 year old male presents to your emergency room for right upper quadrant pain that has gotten worse over the last 2-3 days. He also describes associated nausea, vomiting, and fevers. He denies other abdominal pain, or change in his bowel or bladder habits. His wife notes that he has started to “look more yellow” recent...
Source: Life in the Fast Lane - March 19, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amebic amoeba amoebiasis amoebic dysentery amoebic liver abscess bloody diarrhoea e.dispar e.histolytica entamoeba histolytica Source Type: blogs
Learn pulmonary hypertension with a Medcomic
Pulmonary hypertension (PH) refers to increased pressure in the pulmonary circulation. It develops when pulmonary vessels become constricted and/or obstructed, which can occur in a wide variety of conditions. The increase in pressure is measured by right catheterization, and is defined as a mean pulmonary arterial pressure ≥ 25 mm Hg at rest.
PH leads to right ventricular hypertrophy and enlargement as the ventricle pumps against increased resistance. Right-sided heart failure (cor pulmonale) can eventually develop. Signs and symptoms of PH include dyspnea on exertion, fatigue, substernal chest pain, syncope, hepatomegal...
Source: Kevin, M.D. - Medical Weblog - December 30, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jorge-muniz" rel="tag" > Jorge Muniz, PA-C < /a > Tags: Conditions Pulmonology Source Type: blogs
Naturopaths: Able to turn even Epsom salt potentially deadly
Naturopathy and naturopaths are a fairly frequent topic on this blog —and for very good reason. If there is an example of a pseudomedical " discipline " that has been gaining undeserved " respectability, " it ' s naturopathy. It ' s licensed in all too many states, and physicians who have fallen under the spell of so-called " integrative medicine, " a specialty that rebrands science-based lifestyle medical interventions as somehow " alternative " or " integrative " and uses them as a vessel to " integrate " quackery into medicine, seem to have a special affinity for naturopaths. Indeed, so common has the presence of natu...
Source: Respectful Insolence - October 6, 2017 Category: Surgery Authors: oracknows Source Type: blogs
MKSAP: 68-year-old man with new-onset ascites
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 68-year-old man is evaluated for new-onset ascites with lower-extremity edema. Symptoms have increased gradually over the past 4 weeks. He has consumed three alcoholic beverages per day for many years. His medical history is notable for coronary artery bypass graft surgery 8 months ago and dyslipidemia. His medications are low-dose aspirin, atorvastatin, and metoprolol.
On physical examination, temperature is 36.8 °C (98.2 °F), blood pressure is 122/84 mm Hg, pulse rate is 64/min, and respiration rate is 16/...
Source: Kevin, M.D. - Medical Weblog - April 22, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions GI Source Type: blogs
MKSAP: 28-year-old man with elevated liver chemistry test result
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 28-year-old man is evaluated in follow-up for elevated liver chemistry test results, which were performed to assess a 3-month history of fatigue. He has no history of liver disease and has not had abdominal pain or fever. His medical history is significant for a 3-year history of diarrhea. Following a physical exam, lab results, and abdominal CT, what is the most appropriate next step in management?
On physical examination, vital signs are normal; BMI is 24. Spider angiomata and jaundice are absent. Abdominal ...
Source: Kevin, M.D. - Medical Weblog - March 18, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions GI Source Type: blogs
MKSAP: 68-year-old woman with progressive abdominal distention
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin.
On physical examination, vital signs are n...
Source: Kevin, M.D. - Medical Weblog - December 24, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions GI Source Type: blogs
