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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No constriction! ... DDx includes constriction ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Causes = RV failure ... ), and tricuspid ... Video #Clinical #Neck ... #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
systolic jugular venous ... wave caused by ... Analogous to pulsatile ... #Neck #Jugular ... #JVP
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
on Neck Physical ... Normally, venous ... associated with constrictive ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on Neck ... insufficiency : venous ... Regurgitation #Neck ... #JVP #Clinical ... #PhysicalExam #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular Venous ... , constrictive percarditis ... Rapid y descent - Constrictive ... Jugular #Waveforms #JVP ... #PhysicalExam #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... associated with constrictive ... infarction, massive PE, tricuspid ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... the underlying cause ... Kussmaul's (JVP ... + XRT tattoo = constrictive ... #Friedreichs #Neck
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... have elevated JVP ... you see in the venous ... #Neck #PhysicalExam
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
palpable, monomorphic venous ... pulsation, known ... It is caused by ... #Jugular #JVP # ... Cardiology