19 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... ” EI > 1 - POCUS ... echocardiogram #psax ... #diagnosis #cardiology ... #pocus
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... regurgitation, constrictive ... #Differential #Diagnosis ... #PhysicalExam # ... cardiology
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
s the clinical sign ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #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 ... No constriction! ... DDx includes constriction ... #physicalexam # ... clinical #video #jvp #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive ... the underlying diagnosis ... restrictive CM, constrictive ... #PhysicalExam # ... Pericarditis #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... PHTN #JVP #Neck #PhysicalExam ... Clinical #Video #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Constrictive Pericarditis on Echocardiogram

Septal Shudder, tubular LV (bullet shaped), D Cruz sign(abnormal angle between post wall
Constrictive Pericarditis ... shaped), D Cruz sign ... Echocardiogram #POCUS ... #clinical #cardiology ... #PLAX
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... associated with constrictive ... #physicalexam # ... diagnosis #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus ... #clinical #cardiology