Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
View Regular
OHSU IM Residency Profile picture
OHSU IM Residency
@OHSUIMRes
Balancing the personal and professional needs of our house staff. Strongly committed to resident education, excellence in clinical care and scholarship.

May 23, 2018, 5 tweets

#ChiefResident blog #NoonConference #meded Evidence-based cardiac exam, dyspnea triangle --> cardiac tamponade physiology from a likely hemorrhagic cardiac effusion from a supratherapeutic INR imrespdx.com/imrespdx-blog/…

A pulsus paradoxus of >10-12 mmHg has a +LR of ~3.3 and -LR of 0.03 which is the best diagnostic test we have for tamponade physiology. Here is a great @StanfordMed25 page to review how to perform a pulsus #NoonConference #meded stanfordmedicine25.stanford.edu/the25/bppp.html

Things to do immediately for a pt with tamponade physiology include considering the following: hemodynamic stability (consulting the ICU), IV access, coagulation status (reversal if indicated), fluids to support preload, other consultants (cardiology/ cardiothoracic surgery)

Here's a great @bmj_latest resource for evidence-based cardiac exams #NoonConference #meded bmj.com/content/354/bm…

and here's one more @StanfordMed25 page on measuring JVP! #NoonConference #meded stanfordmedicine25.stanford.edu/the25/nvwf.html

Share this Scrolly Tale with your friends.

A Scrolly Tale is a new way to read Twitter threads with a more visually immersive experience.
Discover more beautiful Scrolly Tales like this.

Keep scrolling