21 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... What’s the diagnosis ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Normally, venous ... fall) of jugular venous ... patients after cardiac ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
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 ... Clinical #Neck #JVP ... Pericarditis #Cardiology
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 ... #cardiology #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 ... Friedreichs #Neck #JVP
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... fall of mean #JVP ... failure, right sided cardiac ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Jugular venous distension ... dyspnea and chest pain ... heart sounds, JVD ... #Pericardial #Cardiac ... #Cardiology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP ... #table #comparison
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... you see in the venous ... the underlying diagnosis ... #Giant #PHTN #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
dyspnea and weight gain ... palpable, monomorphic venous ... It is caused by ... Neck #Jugular #JVP ... #Cardiology