18 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... causes of right-sided ... #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 ... #PhysicalExam # ... Video #Clinical ... Pericarditis #Cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Diagnosis Algorithm ... Tamponade • Constrictive ... Syndrome #Syncope #Cardiology ... Diagnosis #Algorithm ... #causes
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
Diagnosis Algorithm ... • Pericardial Constriction ... #HeartFailure #Cardiology ... Diagnosis #Algorithm ... #causes
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... associated with constrictive ... #physicalexam # ... diagnosis #cardiology ... causes
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Diagnosis Algorithm ... Hypovolemic shock • Constrictive ... Abnormalities #Disorders #Cardiology ... Diagnosis #Algorithm ... #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 ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP #PhysicalExam ... #Cardiology
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Arrhythmias - Differential ... Diagnosis Algorithm ... tissue (previous MI ... #Arrhythmias #Cardiology ... Diagnosis #Algorithm
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diagnosis Algorithm ... Pericardium • Constrictive ... #HeartFailure #Cardiology ... Diagnosis #Algorithm
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... and Causes Clinical ... Echocardiography, Cardiac MRI ... #Causes #differential ... #cardiology #algorithm