11 results
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... with suspected pulmonary ... sign is a paradoxical ... #Kussmauls #Signs ... #Neck #JVP #Cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... The Kussmaul sign ... cardiomyopathy, massive pulmonary ... #Kussmauls #Sign ... #PhysicalExam #Video
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... because she also has Kussmaul's ... sign, causing the ... Giant #PHTN #JVP #Neck ... PhysicalExam #Clinical #Video
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... Hussainch #Cannon #Awaves ... #Neck #Frog #Sign
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... #McConnells #sign
Kussmaul's Sign on JVP Examination

The main finding on this video I hoped to demonstrates is #kussmauls
Kussmaul's Sign ... sign - paradoxical ... invoke Lancisi’s Sign ... #Sign #PhysicalExam ... #JVP #Neck #Veins
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... #ecg #ekg #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... upsloping ST dep and ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... Lack of UMN/LMN signs ... ) studies • MRI ... #Diagnosis #neurology