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 ... failure with + Kussmaul ... SusanJosephMD Kussmaul's ... and other rarer causes ... #Sign #physicalexam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... PE, tricuspid stenosis ... #Sign #physicalexam ... #differential #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Kussmaul's sign ... Causes = RV failure ... and tricuspid stenosis ... #Sign #PhysicalExam
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... the underlying cause ... Kussmaul's (JVP ... amzn.to/2LmUODZ #Kussmauls ... Friedreichs #Neck #JVP #PhysicalExam
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... Commonest cause ... sided cardiac masses ... SVC obstruction cause ... #Kussmauls #PhysicalExam
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... • Renal artery stenosis ... Family history, ultrasound ... Sterile pyuria, WBC casts ... Diagnosis #Algorithm #Causes
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
• Subglottic stenosis ... tracheitis • Tracheal stenosis ... • Subglottic stenosis ... differential #diagnosis #causes ... pulmonary #airway #physicalexam
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 ... PHTN #JVP #Neck #PhysicalExam
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Chronic SVC Stenosis ... What is the cause ... showed chronic stenosis ... SVC #syndrome #Stenosis ... #Video #Chest #PhysicalExam
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
has a number of causes ... Kussmaul breathing ... Other causes include ... Causes include ... Abnormal #Diagnosis #PhysicalExam