18 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... ) Algorithm Outward ... Fusion of Lancisi Sign ... #diagnosis #cardiology ... #physicalexam
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #physicalexam # ... diagnosis #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... ’s called Frog sign ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... cardiomyopathy, massive pulmonary ... #PhysicalExam # ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... has Kussmaul's sign ... have elevated JVP ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... (A4C) A4c view ... concerning for Pulmonary ... #POCUS #Echocardiogram ... #ultrasound #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... Jugular #Waveforms #JVP ... #Differential # ... Diagnosis #PhysicalExam ... #cardiology
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... with suspected pulmonary ... venous pressure (JVP ... #PhysicalExam # ... #Cardiology