22 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... paradoxical rise in JVP ... #Clinical #Neck ... #JVP #Jugular #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... PCWP • Exam: ↓ JVP
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... Friedreichs #Neck #JVP
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 #clinical ... #video #jvp #cardiology
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 ... #physicalexam #diagnosis ... #causes
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... symptoms (HA, nausea ... status (edema, JVD ... drug history #Diagnosis ... #EM #IM #Nephro
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Still useful for diagnosis ... #PhysicalExam #Clinical ... #Video #JVP #VolumeStatus
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... are enough to diagnose ... excludes other differentials ... that’s called “clinical ... #PhysicalExam #JVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... have elevated JVP ... #Giant #PHTN #JVP ... #Video #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Lancisi’s Sign in ... It is caused by ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #JVP #Cardiology