Startle radiology physicalexam neurology pyramidal cva jvp venouspressure kussmauls phtn

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

which rules out CV ... because she also has Kussmaul's ... have elevated JVP ... AWaves #Giant #PHTN ... #JVP #Neck #PhysicalExam

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