16 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... biventeicular failure ... sign! ... and other rarer causes ... #Sign #physicalexam
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... paradoxical increase or failure ... Commonest cause ... severe right heart failure ... #Kussmauls #PhysicalExam
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Kussmaul's sign ... Causes = RV failure ... pericarditis (this case ... #Sign #PhysicalExam
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Kussmaul breathing ... heart failure, ... punctuated by frequent sighs ... Occasional sighs ... #Diagnosis #PhysicalExam
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
in blood flow caused ... Depends on the cause ... : Normal cardiac ... leading to organ failure ... Pathophysiology #Comparison #criticalcare
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
with previously stable ... hypertension and signs ... papilledema, heart failure ... or acute kidney injury ... renal bruit or signs
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... embolism +++, Heart failure ... embolism +, Heart failure ... in up to 30% of cases ... Marantic #diagnosis #table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... perfusion (Heart failure ... differential #diagnosis #table ... #sodium #nephrology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
sweat Heat Injury ... AKI - Liver failure ... → Syncope • Signs ... - Core temp normal ... differential #diagnosis #causes
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
possibly renal failure ... symptoms are not caused ... Self-limiting, chronic but stable ... ), liver (pain/abnormal ... Diagnosis #Management #Signs