11 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive Pericarditis ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... #Cardiology
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in AVNRT ... s the clinical sign ... shown , what’s the diagnosis ... #Neck #PhysicalExam ... #JVP #Cardiology
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 ... #PhysicalExam # ... JVP #Cardiology ... #Neck #Frog #Sign
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
• Mitral/Aortic ... • Constrictive Pericarditis ... AFlutter • AVNRT ... Syndrome #Syncope #Cardiology ... #Algorithm #causes
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... with constrictive pericarditis ... #physicalexam # ... diagnosis #cardiology ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the underlying cause ... = constrictive pericarditis ... #PhysicalExam # ... Clinical #Video #Cardiology
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 ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... ventricular septal shift ... pocus #clinical #cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
tachycardia • Pericarditis ... disease (e.g., aortic ... regurgitation • Severe aortic ... bending over: AVNRT ... #Palpitations #Cardiology