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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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 ... 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
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
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
congestive heart failure ... congestive heart failure ... congestive heart failure ... congestive heart failure ... congestive heart failure
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
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
test - Cogan sign ... - Peek sign ... Myasthenia Crises ... acute respiratory failure ... diagnosis #management #neurology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... - Renal Failure ... only if no clear cause ... Elimination (see Table ... Definitive in ESRD or failure
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... Signs of congestion ... the determined cause ... #table #foamed ... heartfailure #chf #criticalcare