11 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 ... clinical #video #jvp ... #cardiology #neck ... #jugular
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Jugular #Constrictive ... Pericarditis #Cardiology
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
heart failure • JVD ... • BNP < 100 pg/ml ... Examination #chf ... #cardiology #heartfailure ... #physicalexam #
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Diagnosis - Absent ... #Waveforms #JVP ... Diagnosis #PhysicalExam ... #cardiology
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Tachycardia - Differential ... Diagnosis Table ... criteria • Tx: Meds ... #Diagnosis #Table ... #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Diagnosis Typically ... the JVP decreases ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... causes
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... highest on my differential ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Anterior circulation: MCA ... Reversible course Differential ... the underlying cause ... Seizures: Treat with AEDs ... until cause identified
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... the determined cause ... #diagnosis #differential ... algorithm #management #cardiology ... #heartfailure #chf