15 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... blue marks on her chest ... Causes = RV failure ... extra sound is a pericardial ... #Cardiology
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
Kussmaul's sign ... associated with constrictive ... pericarditis, you'll ... pressure loaded RV ... #Neck #Veins #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
where there is RV ... associated with constrictive ... pericarditis. ... cardiomyopathy, RV ... physicalexam #diagnosis #cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... associated with constrictive ... pericarditis, although ... patients after cardiac ... #Neck #Veins #Cardiology
Constrictive Pericarditis on Cardiac MRI

MRI shows ventricular interdependence and re-demonstrates the thickened pericardium. 

Dr. Omid Kiamanesh
Constrictive Pericarditis ... on Cardiac MRI ... the thickened pericardium ... #Pericarditis # ... #radiology #chest
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... Constrictive pericarditis-dx ... Echocardiogram #clinical #cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... the skin (middle chest ... + XRT tattoo = constrictive ... pericarditis 2/ ... Clinical #Video #Cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... evidence of RA/RV ... Echocardiogram #clinical #cardiology
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... to Accommodate RV ... Cessation due to Stiff Pericardium ... pericarditis #pathophysiology ... #cardiology #dissociation
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... JVP 15 cm ASA, Kussmaul's ... circumferential pericardial ... pericarditis ... pocus #clinical #cardiology