11 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 ... and other rarer causes ... of right-sided HF ... 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 ... severe right heart failure ... SVC obstruction cause ... #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
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
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 ... Abnormal #Diagnosis #PhysicalExam
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... insufficiency/Failure ... Food - Avoid in CRF ... differential #diagnosis #causes ... potassium #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... insufficiency/Failure ... Food - Avoid in CRF ... differential #diagnosis #causes ... potassium #high #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... the determined cause ... cardiology #treatment #table ... #heartfailure #chf ... #criticalcare #
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... - Renal Failure ... Na delivery): CHF ... only if no clear cause ... Definitive in ESRD or failure