24 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 ... and other rarer causes ... #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
After Gastric Bypass ... Fat-Soluble Vitamins ... : • Vitamin A - ... • Thiamine - Nausea ... Deficiencies #Gastric #Bypass
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Pernicious anemia, Bypass ... BrighamChiefs #Vitamin ... differential #diagnosis #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... pericarditis (this case ... #Sign #PhysicalExam ... Video #Clinical #Neck ... Pericarditis #Cardiology
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
• Malignancy 
• Milk-alkali syndrome 
• Vitamin D toxicity 
•
EKG Findings Causes ... Milk-alkali syndrome • Vitamin ... #Differential #Causes ... #Diagnosis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... the underlying cause ... #Friedreichs #Neck ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... Commonest cause ... SVC obstruction cause ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Rachitic Rosary of Rickets on Physical Exam

Bead-like prominences of bone are seen at the costochondral joints.
mineralization causes ... Rosary #Rickets #PhysicalExam ... #chest #Ribs #VitaminD
Causes of Hypocalcemia by Clinical Cause

Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... by Clinical Cause ... dietary intake - Vitamin ... Malabsorption syndrome - Vitamin ... D deficiency Neck