Shift diagnosis nephrology signs radiology video lung kussmauls neck a4c echocardiogram awaves

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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

because she also has Kussmaul's ... sign, causing the ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... Giant #PHTN #JVP #Neck

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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

JVP 15 cm ASA, Kussmaul's ... sign, marked pedal ... edema, and clear lungs ... ventricular septal shift ... #a4c #pocus #clinical

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