11 results
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... The Kussmaul sign ... massive pulmonary embolism ... #PhysicalExam # ... #Neck #Veins #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... suspected pulmonary embolism ... #Kussmauls #Signs ... #PhysicalExam # ... Video #Neck #JVP #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... POCUS Pulmonary embolism ... A4c #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Injury By: • Early embolic ... Marantic (NTBE) Differential ... • Paradoxical emboli ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Differential/diagnosis ... POCUS Pulmonary embolism ... #clinical #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Septic emboli ... ↑ ESR, CRP • EKG ... #Endocarditis #Differential ... #Diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... level <100 pg/ml EKG ... • Pulmonary embolism ... #edema #NCPE #differential ... #diagnosis #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... complex Pulmonary Embolism ... Segment #Elevation #differential ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram