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WesElyMD
@WesElyMD
1/🧵🎥 Hepato-Jugular Reflux (HJR)?
 
Neck Veins tell us a lot about how much fluid people have in their body. Look at this video & you’ll learn a trick doctors use that tips us off about blood volume! (Movie w perm)
 
#medtwitter #nursetwitter #TipsForNewDocs #TipsForNewInterns
2/ My patient had kidney failure & too much fluid, making him short of breath. I press down over his liver & watch his neck veins pop up (or not). When they do, it correlates w high pressures in the heart from too much blood volume.
 
bit.ly/2UDAVkl

#MedStudentTwitter
3/ Another way of seeing this is the CXR (see pic). This simple measurement from a vein to an artery called the Vascular Pedicle Width (VPW) also tells me the heart pressures are too high. His VPW is 84 mm and > 70 is way too much. So he needs to pee a LOT!
 
#LASIX #DIURETIC
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#LASIX #medtwitter #TipsForNewDocs #MedStudentTwitter #DIURETIC #nursetwitter #TipsForNewInterns

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