11 results
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... and other rarer causes ... #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
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 ... #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... with constrictive pericarditis ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... = constrictive pericarditis ... #PhysicalExam #
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... Venous Pressure (JVP ... ) Algorithm Outward ... #diagnosis #cardiology ... #physicalexam
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... - Differential Diagnosis ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... 15 cm ASA, Kussmaul's ... (A) a dilated inferior ... expiration not meeting diagnostic ... pocus #clinical #cardiology
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 ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... • Constrictive Pericarditis ... Abnormalities #Disorders #Cardiology ... #Algorithm #causes
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology