13 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 ... of right-sided HF ... Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... sucks in" blood from ... #Sign #physicalexam ... #diagnosis #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
heart failure • JVD ... /ml Adapted from ... Examination #chf ... #cardiology #heartfailure ... #physicalexam #
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Diagnosis - Absent ... Jugular #Waveforms #JVP ... Diagnosis #PhysicalExam ... #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
<90, AMS, SOB from ... CHF, Chest Pain ... #bradycardia #diagnosis ... #differential # ... management #cardiology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Diagnosis Framework ... Enteroviruses (e.g ... indicator to differentiate ... bacterial from
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... highest on my differential ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... (≥ 0.12s) with abnormal ... Diagnosis: • PAC ... #differential # ... cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Cytokine Release from ... Prednisone 5mg/kg ... initiation • Differential ... sepsis), PE, DAH, CHF ... 500 mg QD until normal