12 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 ... jvp #cardiology #neck ... #jugular
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
on Neck Physical ... lack of fall) of jugular ... associated with constrictive ... Clinical #JVP #Neck ... #Veins #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... this case), and tricuspid ... Video #Clinical #Neck ... #JVP #Jugular #
Restrictive Cardiomyopathy vs Constrictive Pericarditis
 - Mitral inflow
 - Tricuspid inflow
 - Hepatic vein flow
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Mitral inflow - Tricuspid ... inflow - Hepatic ... vein flow - Pulmonary ... vein flow - Mitral ... comparison #cardiology #diagnosis
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... to pulsatile IJ vein ... S-reversal on hepatic ... PhysicalExam #Cardiology #Neck ... #Jugular #JVP
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... JVP 15 cm ASA, Kussmaul's ... reversal of the hepatic ... vein with expiration ... not meeting diagnostic
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Hepatic congestionl ... failure - Constrictive ... pericarditis - Tricuspid ... Portal vein occlusion ... Ascites #Causes #diagnosis
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Differential/diagnosis ... On ultrasound note ... Had septic emboli ... Lemierres #Syndrome #Jugular ... POCUS #Clinical #Ultrasound
Lemierre’s Syndrome - Pathophysiology

Lemierre’s is an infectious thrombophlebitis of the internal jugular vein.

 - It starts
of the internal jugular ... vein ... become a deep space neck ... From there, septic ... Pathophysiology #Diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... - Distended neck ... veins, dilated ... - Cardiac >> Constrictive