14 results
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... with + Kussmaul sign ... Kussmaul's sign ... #Kussmauls #Sign ... #cardiology #neck
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... ’s called Frog sign ... #Cardiology #Neck ... #Frog #Sign
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... w/ early shock state ... Full Set of Vital Signs ... - Distended neck ... crackles, elevated JVP
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential ... with previously stable ... hypertension and signs ... renal bruit or signs
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... Start pacing. ... #bradycardia #diagnosis ... #differential #
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Mechanical Complications ... poor prognostic signs ... cardionerds #Complications ... #differential # ... diagnosis #timeline
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperdefecation • Anterior neck ... psychosis - CHF ... proptosis), unblinking stare ... #differential # ... endocrinology #signs
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... = high-output state ... Workup for cause ... highest on my differential ... AorticRegurgitation #Diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of poor perfusion ... Signs of congestion ... #diagnosis #differential ... #heartfailure #chf
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential ... Anesthesia #Checklist #Diagnosis ... #Management #Workup