21 results
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Physical Exam: ↑JVP ... #Diagnosis #Causes ... #differential # ... cardiology #algorithm
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... constriction, restrictive cardiomyopathy ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... include restrictive cardiomyopathy ... physicalexam #diagnosis #cardiology ... causes
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... : Hypertrophic cardiomyopathy ... Regurgitation #differential ... #diagnosis #cardiology ... #causes #primary
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave caused ... IJ vein seen on POCUS ... #PhysicalExam #Cardiology ... Neck #Jugular #JVP
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Arrhythmias - Differential ... disease • Cardiomyopathy ... tissue (previous MI ... #Arrhythmias #Cardiology ... #Differential #
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Many underlying causes ... not limited to: MVP ... Assess for MR when ... Ultrasound #Clinical #Cardiology
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... fall of mean #JVP ... Commonest cause ... Constriction, restrictive cardiomyopathy ... PhysicalExam #clinical #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... #PhysicalExam #JVP ... #Cardiology #Neck ... #Frog #Sign