14 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
regurgitation; PS, pulmonary ... ventricular septal defect ... Murmurs #Maneuvers #Heart ... #Cardiology #PhysicalExam ... #Diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
her JVP (video) ... There is an extra heart ... the underlying diagnosis ... #PhysicalExam # ... Pericarditis #Cardiology
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 ... inability of the right heart ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
with suspected pulmonary ... some forms of heart ... disease and is ... #PhysicalExam # ... #Cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
hospitalized for heart ... cardiomyopathy, massive pulmonary ... #PhysicalExam # ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... , severe right heart ... atrial septal defect ... #PhysicalExam # ... cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... reflects conditions ... #physicalexam # ... diagnosis #cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... has Kussmaul's sign ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... sign, marked pedal ... to workup right-heart ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... in-hospital mortality in inferior ... e.g., PE, right heart ... artery #catheter #diagnosis ... #cardiology #swanganz