10 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive Pericarditis ... you evaluate her JVP ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam #
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... with constrictive pericarditis ... #physicalexam # ... #differential #causes
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 ... = constrictive pericarditis ... #PhysicalExam #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... failure, acute MI ... findings based on cause ... #table #comparison ... #criticalcare
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Infarction and Pulmonary ... life-threatening causes ... #Signs #Presentation ... #comparison #Table ... #Diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... has Kussmaul's sign ... the underlying diagnosis ... #Neck #PhysicalExam
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... > Constrictive pericarditis ... Tamponade - Pulmonary ... crackles, elevated JVP ... Management #Summary #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... in blood flow caused ... Pulmonary embolism ... #criticalcare # ... diagnosis #classification
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... auscultation, JVD ... with presence of pulmonary ... the determined cause ... heartfailure #chf #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
cardiac output causes ... precede other signs ... Tolerance #testing #diagnosis ... #criticalcare # ... comparison #challenges