18 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 ... and other rarer causes ... of right-sided HF ... Sign #physicalexam ... clinical #video #jvp #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
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 ... #Sign #PhysicalExam ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... Most likely diagnosis ... the underlying cause ... Friedreichs #Neck #JVP #PhysicalExam ... Clinical #Video #Cardiology
Traditionally, congestive heart failure has been classified according to severity of symptoms, first formulated by the
STAGES of CHF (A ... flare ups that cause ... #Diagnosis #Cardiology ... #CHF #Congestive ... HeartFailure #Staging #Classification
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
• BNP < 100 pg/ml ... Examination #chf ... #cardiology #heartfailure ... #physicalexam # ... diagnosis
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... and iron release Diagnosis ... endpoint of all-cause ... iron #deficiency #CHF ... #management #cardiology
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... Consider BCx, CSF ... unformed) PNA diagnosed ... 3) Meningitis Diagnose ... #Peds #EM #Classification
In order to better classify heart failure, the American College of Cardiology Foundation and the American
American College of Cardiology ... patients with a diagnosis ... #Diagnosis #Cardiology ... #CHF #Congestive ... #Stages #Classes
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 ... PHTN #JVP #Neck #PhysicalExam ... Clinical #Video #Cardiology