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 ... #Sign #physicalexam ... #clinical #video ... #jvp #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 ... and even SVC obstruction ... #Kussmauls #PhysicalExam ... #clinical #cardiology
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 ... #Sign #PhysicalExam ... #Video #Clinical ... 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 ... Kussmaul's (JVP ... #PhysicalExam # ... Clinical #Video ... #Cardiology
Kussmaul’s sign on Physical Exam

20/F, diagnosed as lupus based on polyserositis and a weak ANA. 

#Kussmauls
Kussmaul’s sign ... Exam 20/F, diagnosed ... #PhysicalExam # ... clinical #video ... #JVP #cardiology
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
E.g. in a cold room ... But in rare cases ... Antecubital #Vein #PhysicalExam ... #Clinical #Video ... #estimate #Cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Cannon A Waves • Caused ... activation from SVT ... (e.g., junctional ... Cannon #AWaves #diagnosis ... #cardiology #CVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... dual-chamber PPM set ... #AWaves #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
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 ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology