11 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive ... you evaluate her JVP ... the underlying diagnosis ... paradoxical rise in JVP ... Clinical #Neck #JVP
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
Kussmaul's Sign ... What’s the diagnosis ... No constriction! ... DDx includes constriction ... clinical #video #jvp
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... - Cardiac >> Constrictive ... crackles, elevated JVP ... #Diagnosis #Management
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... What 2 eponymous JVP ... Most likely diagnosis ... + XRT tattoo = constrictive
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... 100/82, HR 74, JVP ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... associated with constrictive ... #physicalexam #diagnosis
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... JVP was enough to ... diagnose CP, prominent ... and Kussmaul’s sign ... Echocardiogram #POCUS
Manifestations of Anaphylaxis by Body System

Dermatologic/mucosal

 - Eyes: periorbital swelling/erythema, injected conjunctiva, tears

 - Oral mucosa:
sensation of throat constriction ... : bradycardia, shock ... cessation of play #Diagnosis ... #Allergy #Signs
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... and no apparent focus ... Shock or respiratory ... Shock evidenced ... classification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... Signs of poor perfusion ... Signs of congestion ... auscultation, JVD ... essentially Cardiogenic Shock