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Kussmaul's sign in Constrictive Pericarditis A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... the underlying diagnosis ... The rapid Y descent ... #PhysicalExam #Video
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 Kussmaul's Sign and Friedreich's Sign on Neck Examination A middle-aged M with unknown PMH presents with dyspnea.
demonstrated in the video ... Most likely diagnosis ... (sharp/deep Y-descent ... PhysicalExam #Clinical #Video
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 Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
clearly discernible descents ... the underlying diagnosis ... PhysicalExam #Clinical #Video
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 Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent ... Symptoms #Signs #Diagnosis
Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... Video via Dr. ... #Tracheal #Descent ... Sign #clinical #video
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 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 #video
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 Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... - Prominent x descent ... myxoma - Rapid y descent ... defect - Absent y descent ... #Differential #Diagnosis
Abnormal Jugular Venous Pressure (JVP) Algorithm Outward Wave / Peak • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... Pressure #Algorithm #diagnosis
Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... overcomes the descent ... • y descent - ... Thus the y descent
RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
waves and two descents ... blunting of ‘x’ descent ... with TR - ‘x’ descent ... - ‘y’ descent ... Interpretation #Diagnosis
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