11 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... clearly discernible descents ... has Kussmaul's sign ... the underlying diagnosis ... Giant #PHTN #JVP #Neck
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
Campbell’s sign ... or Tracheal Descent ... COPD #clinical #video ... #trachea #neck ... #physicalexam #pulmonary
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
Lancisi's sign on ... loss of the x descent ... creating a fused cv wave ... Waveform #Clinical #Video ... #Neck #JVP #Tricuspid
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
on Neck Examination ... demonstrated in the video ... Most likely diagnosis ... (sharp/deep Y-descent ... #Friedreichs #Neck
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... copious secretions, Recent ... head/neck surgery ... #Ventilation #diagnosis ... #management #indications
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... the underlying diagnosis ... The rapid Y descent ... #PhysicalExam #Video ... #Clinical #Neck
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
multiplex WORKUP & DIAGNOSIS ... increased DLCO after recent ... crescentic GN by Nick ... #differential #diagnosis ... #management #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Full Set of Vital Signs ... - Distended neck ... Tamponade - Pulmonary
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Pheochromocytoma - Diagnosis ... Summary 10 percent ... Symptoms and Signs ... common symptoms and signs ... may present with pulmonary
HIGH ALTITUDE PULMONARY EDEMA (HAPE)
 • High altitude disease that kill most people
 • Incidence: severe
climbers • Early signs ... THERAPY 1) Rapid Descent ... hyperbaric chamber if descent ... #Edema #HAPE #diagnosis ... #management