Thread by @PulmCrit

Additional frontiers in venous congestion: What does it mean if there is pulsatile venous flow in the *femoral* vein?
This was origionally in patients with elevated CVP...
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additional studies showing that pulsatile venous flow correlates with elevated CVP.
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how to evaluate for venous pulsation:
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doppler interrogation of the portal vein may be performed with a linear probe at a 45 degree angle
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systemic venous congestion may correlate with delirium and asterixis!
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mild anemia... but with systemic venous congestion! improve the hemoglobin by *diuresis* and hemoconcentration, not by giving a blood transfusion
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limitations to femoral vein pulsatility:
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gradations in abnormality in femoral vein pulsatility
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