19 results
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... What’s the diagnosis ... sign! ... and other rarer causes ... #Sign #physicalexam
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... consistent with BPPV ... ) • Epley maneuver ... #BPPV #Vestibular ... Labyrinthitis #diagnosis
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... Kussmaul's sign ... #Sign #physicalexam ... #differential #causes
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... symptoms in head-hanging ... #dixhallpike #physicalexam ... testing #findings #signs ... #bppv #vertigo
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 ... Kussmaul's sign ... Causes = RV failure ... #Sign #PhysicalExam
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... (BPPV); worsens ... with vascular causes ... #diagnosis #findings ... #signs #symptoms
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... auditory findings BPPV ... No auditory symptoms ... Long symptom-free
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... (BPPV) - Short-lived ... without an obvious cause ... varying neurologic signs ... #diagnosis #neurology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... Time course and symptoms ... distinguishing between causes ... (BPPV): - Timing ... #differential #diagnosis
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... the underlying cause ... #Neck #JVP #PhysicalExam