RHF and afib/flut

Today we reviewed right heart failure and hyperthryoidism. 

A great article on isolated RHF can be found HERE. 

Some clues for RHF- worsening of symptoms on lasix, absence of classic LHF symptom,

On physical examination, one may find one or more of the following:

- Elevated JVP 
- Hepatomegaly 
- Ascites
- Peripheral edema
- RV heave
- Palpable P2
- Right-sided S3

Hyperthyroidism can be due to graves, thryoiditis, toxic nodules, exogenous thyroid and drug induced.

This can be worked up as an outpatient by thryoid uptake (a %) and a scan (distribution).

here is a fantastic and recent review of hyperthyroidism!!