10 results
Kussmaul's Sign on Physical Exam

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

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and other rarer causes ... of right-sided HF ... Sign #physicalexam ... #clinical #video ... jvp #cardiology #neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
blue marks on her chest ... Causes = RV failure ... #Sign #PhysicalExam ... #Video #Clinical ... #Neck #JVP #Jugular
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 ... the skin (middle chest ... the underlying cause ... #JVP #PhysicalExam ... #Clinical #Video
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... Giant #PHTN #JVP #Neck ... #PhysicalExam # ... Clinical #Video
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... Kussmaul breathing ... resistance to air ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess - Clinical ... Blood cultures • CXR ... lat decubitus - air ... Lung #Abscess #pulmonary
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
visualized in the neck ... and spaces can cause ... spreading to the head, neck ... Subcutaneous #Emphysema #PhysicalExam ... #Clinical #Video
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... is required Nick ... #PhysicalExam # ... clinical #video ... #pulmonary #respiratory
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... This patient’s clinical ... exam findings and clinical ... x-ray (CXR), try ... not seen on a CXR