12 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 ... No constriction! ... DDx includes constriction ... severe TR, RV infarct ... clinical #video #jvp #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... ASA, Kussmaul's sign ... OKiamanesh #Constrictive ... Echocardiogram #a4c ... pocus #clinical #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
McConnell's Sign in RV Infarct
This patient arrived as a STEMI alert. Apical 4-chamber view showing a
McConnell's Sign ... in RV Infarct ... Echocardiogram #A4C ... #cardiology #anatomy ... #labeled
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... associated with constrictive ... physicalexam #diagnosis #cardiology ... #differential #
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... was referred to cardiology ... and Kussmaul’s sign ... POCUS #clinical #cardiology ... #a4c
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... with McConnell sign ... be from an RV infarct ... Echocardiogram #clinical #cardiology ... #a4c #labeled
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... Positive McConnell's Sign ... be seen in RV infarct ... PSAX #clinical #cardiology ... #labeled
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
can be new/old infarct ... Equivalents / Don't Miss Signs ... VI-V2 - posterior infarct ... electrocardiogram #cardiology ... Interpretation #differential
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Typically anterior infarct ... wall (inferior infarct ... poor prognostic signs ... Infarction #acuteMI #cardiology ... #differential #