9 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive ... you evaluate her JVP ... the underlying diagnosis ... #PhysicalExam # ... Clinical #Neck #JVP
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Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... on Echocardiogram ... JVP was enough to ... diagnose CP, prominent ... and Kussmaul’s sign
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Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... No constriction! ... DDx includes constriction ... #physicalexam # ... clinical #video #jvp
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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... 100/82, HR 74, JVP ... ASA, Kussmaul's sign ... transthoracic echocardiogram ... expiration not meeting diagnostic
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Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... ) Algorithm Outward ... Fusion of Lancisi Sign ... #diagnosis #cardiology ... #physicalexam
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... + XRT tattoo = constrictive ... #PhysicalExam #
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Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... associated with constrictive ... #physicalexam #
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... have elevated JVP ... louder second component ... the underlying diagnosis ... #Neck #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 ... #Algorithm #Pathophysiology