8 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign in Constrictive ... you evaluate her JVP ... the underlying diagnosis ... Kussmauls #Sign #PhysicalExam ... Clinical #Neck #JVP
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 ... Kussmauls #Sign #physicalexam ... clinical #video #jvp
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... regurgitation, constrictive ... Jugular #Waveforms #JVP ... #Differential #Diagnosis ... #PhysicalExam #
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 ... #PhysicalExam #
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... 100/82, HR 74, JVP ... pedal edema, and clear ... expiration not meeting diagnostic ... OKiamanesh #Constrictive
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 ... associated with constrictive ... Kussmauls #Sign #physicalexam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Relative Afferent ... It is a clear sign ... anomaly in the afferent ... very sensitive diagnostic ... Pupils #MacrusGunn #PhysicalExam
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
detect a relative afferent ... Left relative afferent ... Left relative afferent ... Instead of pupil constriction ... #Diagnosis #PhysicalExam