19 results
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 ... constriction, restrictive cardiomyopathy ... 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 ... include restrictive cardiomyopathy ... #physicalexam #diagnosis ... #cardiology #differential ... #causes
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 ... Causes = RV failure ... #PhysicalExam #Video ... Pericarditis #Cardiology
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 ... the underlying cause ... PhysicalExam #Clinical #Video ... #Cardiology
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
Hypertrophic Cardiomyopathy ... 215 mm (TTE/CT/MRI ... Absence of Secondary Cause ... testing, LGE on MRI ... #Management #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
- Diagnosis and ... Causes Clinical ... Echocardiography, Cardiac MRI ... #Diagnosis #Causes ... #differential #cardiology
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
- Differential Diagnosis ... disease • Cardiomyopathy ... tissue (previous MI ... #Arrhythmias #Cardiology ... #Differential #Diagnosis
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
 Most common cause ... albumin-cytologic dissociation ... Differential diagnosis ...  West Nile virus ... cord lesion on MRI
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... the underlying diagnosis ... PhysicalExam #Clinical #Video ... #Cardiology
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
HAGL) can be a cause ... anterior shoulder dislocation ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk