22 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 ... other rarer causes ... #physicalexam # ... clinical #video #jvp #cardiology ... #neck #jugular
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 ... Pericarditis #Cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Sign on Neck Examination ... Most likely diagnosis ... the underlying cause ... + XRT tattoo = constrictive ... #JVP #PhysicalExam
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... you see on this SC ... could pinpoint the cause ... Had diagnostic tap-fever ... Echocardiogram #clinical #cardiology
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... Constriction, restrictive ... and even SVC obstruction ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave caused ... IJ vein seen on POCUS ... and S-reversal ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... velocity of 9.5 cm/sec ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... #XRay #Diagnosis ... #Sports #MSK