11 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 ... and other rarer causes ... of right-sided HF ... Sign #physicalexam ... clinical #video #jvp
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... paradoxical rise in JVP ... Causes = RV failure ... #Sign #PhysicalExam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #Sign #physicalexam ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... #PhysicalExam #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... findings based on cause ... anaphylaxis, release syndrome ... #Differential #Diagnosis ... #table #comparison
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... Hussain Ch @Hussainch ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... confirm high-output HF ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... : Age>60, CKD, CHF ... elevated BNP, high CVP ... Reactions #hematology #diagnosis ... #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... acute coronary syndrome ... the determined cause ... cardiology #treatment #table ... #heartfailure #chf