Shift diagnosis nephrology signs radiology video lung differential jvp criticalcare a4c reflex

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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 ... edema, and clear lungs ... ventricular septal shift ... Echocardiogram #a4c

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Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem

arc and can occur ... Long-term survival ... after brain death diagnosis ... PhysicalExam #clinical #video ... #neurology #criticalcare

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