18 results
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... PCWP • Exam: ↓ JVP ... findings based on cause ... #Differential #Diagnosis ... #table #comparison
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Clinical #Neck #JVP
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... ), Myxomatous (MVP ... endocarditis, Ring fracture ... #differential #diagnosis ... #cardiology #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... #PhysicalExam #
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... Kussmauls #Sign #physicalexam ... #differential #causes
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... are enough to diagnose ... the case as Typical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... Mechanical: • Larynx fracture ... #differential #diagnosis ... #causes #pulmonary ... #airway #physicalexam
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... Workup for cause ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis ... #PhysicalExam #