Elbow pocus effusion sign msk physicalexam radiology diagnosis neck a4c - GrepMed

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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

which rules out CV fusion ... has Kussmaul's sign ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #PhysicalExam #

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

ASA, Kussmaul's sign ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical

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