13 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 ... #physicalexam #clinical ... #video #jvp #cardiology ... #neck #jugular
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... Diagnosis • Physiologic ... heart failure, Liver ... #Diagnosis #radiology ... #POCUS #ultrasound
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... the underlying diagnosis ... Causes = RV failure ... #Clinical #Neck ... Pericarditis #Cardiology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Diagnosis Portal ... >10 mmHg - clinically ... sarcoidosis) • Liver ... metastasis • Fatty liver ... #Diagnosis #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
on Neck Examination ... Most likely diagnosis ... the underlying cause ... #PhysicalExam #Clinical ... #Video #Cardiology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... Transfer to a liver ... #AFLP #Fatty #Liver
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... derangement of liver ... symptoms/signs ... mellitus; USS, ultrasound ... #Enzymes #Differential
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 ... that’s called “clinical ... #Neck #Frog #Sign
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #Video #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... the determined cause ... #diagnosis #differential