20 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 ... and other rarer causes ... #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... #Sign #PhysicalExam ... #Video #Clinical ... Pericarditis #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the underlying cause ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
Kussmaul’s sign on Physical Exam

20/F, diagnosed as lupus based on polyserositis and a weak ANA. 

#Kussmauls
Kussmaul’s sign ... Exam 20/F, diagnosed ... #PhysicalExam # ... clinical #video ... #JVP #cardiology
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 ... #Clinical #Video ... #Cardiology
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
waves indicate AV dissociation ... block, or, as this case ... #AWaves #Neck #PhysicalExam ... JVP #Clinical #Video ... #Cardiology
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
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
alternating light test ... very sensitive diagnostic ... regarding the cause ... Neurology #Clinical #Video ... Pupils #MacrusGunn #PhysicalExam
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