39 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 #jugular
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 ... Causes = RV failure ... Video #Clinical #Neck ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... the underlying cause ... #Friedreichs #Neck ... Clinical #Video #Cardiology
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
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Response - Elevated Neck ... Cheyne-Stokes Respirations ... Likelihood #LRs #diagnosis ... #cardiology #CHF
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... #physicalexam #diagnosis ... #cardiology #differential ... #causes
Kussmaul’s sign on Physical Exam

20/F, diagnosed as lupus based on polyserositis and a weak ANA. 

#Kussmauls
Kussmaul’s sign ... Exam 20/F, diagnosed ... #Kussmauls #sign ... clinical #video #JVP #cardiology ... #neck
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Cannon A Waves on Neck ... cardiac cycle or respiration ... block, or, as this case ... CannonA #AWaves #Neck ... Clinical #Video #Cardiology
Typical Clinical Features of DKA:
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Acetone breath 
 - Tachycardia 
 - Soft Bp
mental status - Kussmaul ... respirations ... - Nausea/vomifing ... - Polyuria #Diagnosis
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 ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... Clinical #Video #Cardiology
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
and Differential Diagnosis ... RBC’s, RBC/WBC casts ... terminal (bladder neck ... , prostatic) #Diagnosis ... #EM #IM #Urology