PhysicalExam cardiology svc ophthalmology jvp hepatojugular cannona sign kussmauls a4c - GrepMed

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Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest

Kussmaul's #sign ... fall of mean #JVP ... masses and even SVC ... #Kussmauls #PhysicalExam ... #clinical #cardiology

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

100/82, HR 74, JVP ... 15 cm ASA, Kussmaul's ... sign, marked pedal ... Echocardiogram #a4c ... pocus #clinical #cardiology

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