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 ... What’s the diagnosis ... and other rarer causes ... #physicalexam # ... jvp #cardiology #neck
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Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
MRI, iADL scale, ... Alzheimer - 1st cause ... (parkinsonian signs ... - 25% genetic component ... Dementia - 2nd cause
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... louder second component ... Giant #PHTN #JVP #Neck ... #PhysicalExam #
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Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
on Neck Examination ... Most likely diagnosis ... the underlying cause ... #Friedreichs #Neck ... #JVP #PhysicalExam
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Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... Algorithm Cause ... - Gitelman SIGNS ... Cl⁻ with other components ... #Differential #Diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... pericarditis (this case ... #PhysicalExam # ... Video #Clinical #Neck
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Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... heart valves • MRI ... in up to 30% of cases ... often seen • MRI ... #Endocarditis #comparison
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
life-threatening causes ... pain, such as MI ... Pericarditis #Symptoms #Signs ... #Presentation #comparison ... #Table #Diagnosis
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Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
determine the cause ... only veins of neck ... #Blood #Flow #physicalexam ... #diagnosis #hepatology ... #obstruction #comparison
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
cardiac output causes ... precede other signs ... predicts FR by Nick ... Tolerance #testing #diagnosis ... #criticalcare #comparison