21 results
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... The Kussmaul sign ... #Kussmauls #Sign ... #PhysicalExam #Video ... #Veins #Cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... bruising (AL) - Kussmaul ... despite hx HTN) EKG ... #Cardiology #Staging
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... on Neck Examination ... the skin (middle chest ... #Clinical #Video ... #Cardiology
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 ... Kussmaul's sign ... #Neck #JVP #Jugular ... Pericarditis #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Unstable/cardiogenic ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... - Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... - Radiation to neck ... (+LR 2.6) - Cardiac ... - History - EKG ... diagnosis #Algorithm #cardiology