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

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

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... #PhysicalExam #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... findings based on cause ... anaphylaxis, release syndrome ... #Differential #Diagnosis ... #table #comparison
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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Bone/Joint Causes ... Leg Pain: • Fracture ... #differential #diagnosis ... extremity #msk #physicalexam
Rapid, increasing signs of extrapyramidal symptoms (EPS) is an important key feature of NMS. EPS, associated
important key feature ... about 95% of NMS cases ... #Diagnosis #Serotonin ... #Syndrome #NMS ... NeurolepticMalignant #Comparison #Table
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... such as fibular fracture ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
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Causes of Knee Effusions ... - Differential Diagnosis ... Intra-articulation fracture ... Knee #Effusions #causes ... #msk #physicalexam