14 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 ... No constriction! ... DDx includes constriction ... clinical #video #jvp ... #cardiology #neck
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 ... this case), and tricuspid ... Clinical #Neck #JVP
Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.
Tricuspid Regurgitation ... Tricuspid Stenosis ... Constrictive Pericarditis ... Waveform #Patterns #JVP ... #Cardiology #diagnosis
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... associated with constrictive ... infarction, massive PE, tricuspid ... #cardiology #differential
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... constrictive percarditis ... Jugular #Waveforms #JVP ... #Differential #Diagnosis ... #PhysicalExam #cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... prolapse/mitral ... Maneuvers #Heart #Cardiology ... #PhysicalExam #Diagnosis
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 ... Kussmaul's (JVP ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
endocarditis, Myxomatous (MVP ... endocarditis, Myxomatous (MVP ... ), Myxomatous (MVP ... #differential #diagnosis ... #cardiology #causes
ASE Echocardiography Guidelines for Evaluation of Valvular Regurgitation
 • Aortic Valve
 • Mitral Valve
 • Tricuspid
Aortic Valve • Mitral ... Valve • Tricuspid ... #Echocardiogram ... #POCUS #diagnosis ... #cardiology #criteria
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... 15 cm ASA, Kussmaul's ... , (B) a septal mitral ... expiration not meeting diagnostic ... pocus #clinical #cardiology