19 results
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 ... have elevated JVP ... amzn.to/2LmUODZ #AWaves ... #Giant #PHTN #JVP
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 ... Video #Clinical #JVP
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... with suspected pulmonary ... DavidJuurlink Kussmaul ... venous pressure (JVP ... #Kussmauls #Signs
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
CO / High SVR, JVP ... CO / High SVR, JVP ... • Pulmonary Embolism ... CO / High SVR, JVP ... Diagnosis #Types #criticalcare
Capnography and 12 Common Waves - Credit: Charlie Alvarenga

#Diagnosis #CriticalCare #Capnography #Waveforms #Interpretation #ETCO2 #EndTidalCO2 #pulmonary
and 12 Common Waves ... #Diagnosis #CriticalCare ... #EndTidalCO2 #pulmonary
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Prominent a waves ... block - Large a waves ... atrial myxoma, pulmonary ... - Large cv waves ... Jugular #Waveforms #JVP
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Classification Types - Comparison ... Table JVP, IVC ... #Shock #Types #Comparison ... differentiating #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... Diagnosis #table #comparison ... #criticalcare
Comparison of Pathologic Breathing Patterns
Biot's respiration aka ataxic respiration:
 - Periodic breathing: hyperpnea (or normopnea) and
Comparison of Pathologic ... Neuron damage Kussmaul ... #Respiratory #pulmonary ... #diagnosis #comparison
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... , Volume Exam (JVP ... Management #treatment #criticalcare