19 results
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... No constriction! ... and other rarer causes ... of right-sided HF ... clinical #video #jvp #cardiology
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
CHF - Left-Sided ... Algorithm Valvular ... • Pericardial Constriction ... #HeartFailure #Cardiology ... #Algorithm #causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... Pericardium • Constrictive ... #HeartFailure #Cardiology ... #Algorithm #causes
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... could pinpoint the cause ... Had diagnostic tap-fever ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... Tamponade • Constrictive ... Syndrome #Syncope #Cardiology ... #Algorithm #causes
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... pressure >10mmHg: • Cardiac ... Hypovolemic shock • Constrictive ... Abnormalities #Disorders #Cardiology ... #Algorithm #causes
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
was referred to cardiology ... was enough to diagnose ... and Kussmaul’s sign ... #clinical #cardiology ... #a4c
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... associated with constrictive ... infarction, massive PE ... #cardiology #differential ... #causes
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... Nuclear SPECT ($$$), PET ... CT/MRI ($$$$) ... Stress #Testing #cardiology