13 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
her JVP (video) ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam #Video ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... TR, RV infarct, and ... other rarer causes ... physicalexam #clinical #video ... #jvp #cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign and ... Most likely diagnosis ... the underlying cause ... + XRT tattoo = constrictive ... #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... associated with constrictive ... #cardiology #differential ... #causes
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Diuretics) • TIA • Psychiatric ... Tamponade • Constrictive ... Syndrome #Syncope #Cardiology ... #Algorithm #causes
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... and Causes Clinical ... Physical Exam: ↑JVP ... Echocardiography, Cardiac MRI ... #cardiology #algorithm
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
- Differential Diagnosis ... Algorithm May present as ... tissue (previous MI ... • Cocaine - Psychiatric ... #Arrhythmias #Cardiology
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
“cannon waves” caused ... systole): ↑ in constrictive ... ) Steep ↑ with constrictive ... Interpretation #Diagnosis ... #Cardiology #Venous
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... PhysicalExam #Clinical #Video ... #Cardiology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
identify non-calculus causes ... Combination of above MRI ... for non-calculus causes ... stones #calculus #Radiology ... #Diagnosis