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Kussmaul's sign in Constrictive Pericarditis A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... pericarditis (this case ... The rapid Y descent ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical
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 Kussmaul's Sign and Friedreich's Sign on Neck Examination A middle-aged M with unknown PMH presents with dyspnea.
the underlying cause ... (sharp/deep Y-descent ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video
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 Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... clearly discernible descents ... PHTN #JVP #Neck #PhysicalExam ... #Clinical #Video
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 Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
• x descent - ... • c wave - caused ... • x descent - ... is caused by the ... Waveforms #JVP #PhysicalExam
Campbell’s sign or Tracheal Descent in Longstanding COPD Patients with longstanding COPD may show downward displacement of
sign or Tracheal Descent ... sign #Tracheal #Descent ... #COPD #clinical ... trachea #neck #physicalexam
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 Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... #Tracheal #Descent ... #Sign #clinical ... #video #physicalexam
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 Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
- Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent ... Differential #Diagnosis #PhysicalExam
Abnormal Jugular Venous Pressure (JVP) Algorithm Outward Wave / Peak • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... diagnosis #cardiology #physicalexam
Causes of Erythema Nodosum Common - Idiopathic (up to 55 percent) - Infections: streptococcal pharyngitis (28 to
Causes of Erythema ... Idiopathic (up to 55 percent ... Drugs (3 to 10 percent ... Erythema #Nodosum #Causes ... Differential #Diagnosis #Clinical
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Diagnosis and Causes ... • Clinical presentation ... arrythmia, syncope ± Recent ... diagnosis: Ischernic cause ... differential #Diagnosis #Causes
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