33 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 ... 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.
on Neck Examination ... Most likely diagnosis ... small blue-colored spot ... the underlying cause ... #Cardiology
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
summarizes the causes ... are: - Normal in position ... branching vessels #Diagnosis ... #Radiology #CXR ... #Enlargement #Differential
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... the underlying diagnosis ... Causes = RV failure ... #Clinical #Neck ... Pericarditis #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... where we may see a positive ... #physicalexam #diagnosis ... #cardiology #differential ... #causes
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 ... excludes other differentials ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... from the various causes ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework ... Causes include: ... balance • Flat neck ... ischemic changes CXR ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram