14 results
Kussmaul's Sign on Physical Exam

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on
Kussmaul's Sign ... Physical Exam Kussmaul ... inspiration, or a failure ... #Kussmauls #Sign ... #Video #PhysicalExam
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 ... #Sign #physicalexam ... clinical #video #jvp
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... you evaluate her JVP ... Kussmaul's sign ... Causes = RV failure ... #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 ... fall of mean #JVP ... severe right heart failure ... #Kussmauls #PhysicalExam
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... venous pressure (JVP ... inspiration, or a failure ... #Kussmauls #Signs ... #PhysicalExam #
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... hospitalized for heart failure ... The Kussmaul sign ... systolic heart failure ... #Kussmauls #Sign
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Intra-cardiac pump failure ... • Severe heart failure ... Extra-cardiac pump failure ... findings based on cause ... #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
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