13 results
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 ... #Sign #physicalexam ... clinical #video #jvp #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... with inspiration as ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... Causes = RV failure ... #Sign #PhysicalExam ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
and Friedreich's ... Most likely diagnosis ... the underlying cause ... Friedreichs #Neck #JVP #PhysicalExam ... Clinical #Video #Cardiology
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Cardiomyopathy on Echocardiogram ... Though this case ... might look like asd ... An ASD with atria ... #cardiology #a4c
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... the underlying diagnosis ... PHTN #JVP #Neck #PhysicalExam ... Clinical #Video #Cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... Hyperthyroidism • Anemia Psychiatric ... #Palpitations #Cardiology ... #Differential #Diagnosis
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
with a normal echocardiogram ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... are enough to diagnose ... the case as Typical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology