Скачать или смотреть Pulsus Paradoxus Physical Exam - Stanford Cardiologist's Guide

In this Stanford 25 video, Dr. Ronald Witteles, Professor of Cardiovascular Medicine and the Stanford Internal Medicine Residency Program Director, shares the pathophysiology and clinical presentation of pulsus paradoxus. This was filmed live at the Stanford Internal Medicine Residency Morning Report. Thank you to Sulaiman Somani, MD for being the patient.

Produced by Aaron Frank, MD and Errol Ozdalga, MD.

0:00 – Intro & case setup
0:25 – What is pulsus paradoxus?
1:43 – Mechanism overview
3:00 – Cardiac tamponade physiology
3:56 – Constriction mechanism
6:15 – Pericardial effusion signs
6:30 – Bedside diagnosis approach
7:40 – Pulse pressure tracing
8:15 – Physical exam maneuvers
10:18 – Key exam rules
12:40 – Echo findings in tamponade
13:50 – How to create a “pulsus”
14:05 – Asthma parallels
15:45 – Straw mechanism demo
16:15 – Aortic stenosis pearl
17:00 – Review of physical signs
17:17 - Pulsus physical exam
18:41 – Final summary

Thank you to CSRP Funding for your support of Stanford 25.