15 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... infarct, and other rarer ... causes of right-sided ... physicalexam #clinical #video ... #jvp #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... (video). ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam #Video
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... demonstrated in the video ... Most likely diagnosis ... the underlying cause ... PhysicalExam #Clinical #Video
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... PhysicalExam #Clinical #Video
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... Burns • Trauma/Crush ... • Recent IV potassium ... #differential #diagnosis ... #causes #potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... Burns • Trauma/Crush ... • Recent IV potassium ... #differential #diagnosis ... #causes #potassium
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... is identified (video ... Workup for cause ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
- Differential Diagnosis ... Immobilization, Crush ... Monitor potassium ... #Differential #Diagnosis ... Management #Summary #causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Lysis (TLS, rhabdo/crush ... tourniquet / IVF line draw ... only if no clear cause ... hypertonic Amp IVP ... Management #Treatment #potassium
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
- Differential Diagnosis ... Loss of sodium/Potassium ... fatigue Heat Rash ... #differential #diagnosis ... #causes #stroke