11 results
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... and other rarer causes ... #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
on her chest (photo ... the underlying diagnosis ... Causes = RV failure ... #Sign #PhysicalExam ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... #PhysicalExam # ... Clinical #Video #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Kussmaul breathing ... hyperventilation syndrome—a ... Occasional sighs are ... Abnormalities #Abnormal #Diagnosis ... #PhysicalExam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
The most common causes ... of this are tumors ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... auscultation, JVD ... acute coronary syndrome ... the determined cause ... algorithm #management #cardiology