10 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Video #Clinical #Neck ... #Cardiology
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
conditions: - Acute MI ... - Pericarditis ... Brugada criteria) #Diagnosis ... #Cardiology #EKG ... #Utility #ALiEM
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 ... #physicalexam # ... clinical #video #jvp #cardiology ... #neck #jugular
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 ... + XRT tattoo = constrictive ... pericarditis 2/ ... #JVP #PhysicalExam
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
be seen on EKG ... often follows a URI ... in refractory cases ... #Cardiology #Diagnosis ... #Signs #Symptoms
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
associated with constrictive ... pericarditis. ... #physicalexam # ... diagnosis #cardiology ... #differential #causes
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... - Distended neck ... - Cardiac >> Constrictive ... pericarditis, Pericardial
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... in the chest or neck ... exam • 12-lead ECG ... tachycardia • Pericarditis ... #Palpitations #Cardiology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... myasthenia Diagnosis ... Serologic and EMG ... test - Cogan sign ... - Peek sign