Abdominojugular Test (AJT)
The Hepato-Jugular Reflux (HJR) test was originally described by Pasteur in 1885 as a sign of tricuspid regurgitation (TR) [1].
Continue readingAllan J. Goody Bedside Medicine Series
Georgetown University School of Medicine
The Hepato-Jugular Reflux (HJR) test was originally described by Pasteur in 1885 as a sign of tricuspid regurgitation (TR) [1].
Continue readingKussmaul described the “paradoxen puls” in 1873 (though Wilhelm Griesinger may have discovered it in 1854) as a paradox because
Continue readingThe key Ultrasound findings to look for when you suspect tamponade are a Pericardial effusion plus the following: IVC dilation
Continue readingSteven Mcgee described 6 murmur patterns, after the seemingly painstaking process of examining 376 patients with systolic murmurs and correlating
Continue readingIn 1935, Claude S. Beck remarked (boasted?) that “Osler not infrequently lamented his failure to recognize…” and Laënnec had “problems
Continue readingIt is true that agreement on murmurs has been found sub-optimal (i.e. κ = 0.19 for if a systolic murmur
Continue readingThe angle of the bed should be adjusted to put the meniscus of the Jugular veins between the angle of
Continue readingIn the JAMA rational clinical exam series, elevated JVP (or JVD) has a reported pooled +LR of 5.1 and -LR of 0.66 for
Continue readingThe third heart sound has good (as far as exam findings go) operating characteristics for determining if a patient has
Continue readingIn this JAMA Rational Clinical Exam article [1] the best historical features and patients symptoms to discriminate CHF from other
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