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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What’s the diagnosis ... and other rarer causes ... Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... #Sign #PhysicalExam ... Video #Clinical #Neck ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

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

20/F, diagnosed as lupus based on polyserositis and a weak ANA. 

#Kussmauls
Kussmaul’s sign ... Exam 20/F, diagnosed ... #PhysicalExam # ... clinical #video #JVP ... #cardiology #neck
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
injury, elbow dislocation ... recommendations MH/CCF ... MetroHealth_EM #RadialHead ... #Elbow #Radiology ... #XRay #Diagnosis
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
waves indicate AV dissociation ... block, or, as this case ... #PhysicalExam # ... JVP #Clinical #Video ... #Cardiology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... Complications include swan neck ... 1 week MH/CCF ... #IPJoint #Radiology ... #XRay #Diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign