11 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Video #Clinical #Neck
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... and other rarer causes ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
on Neck Examination ... Most likely diagnosis ... the underlying cause ... #Friedreichs #Neck ... #JVP #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #Neck #Frog #Sign
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
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 ... #physicalexam # ... causes
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... pleura in severe cases ... #differential # ... diagnosis #signs ... #Lung #POCUS #ultrasound
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Setup - Ultrasound ... - Distended neck ... Tamponade - Pulmonary ... crackles, elevated JVP
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Differential Bilat ... /lung sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... POCUS #clinical #ultrasound
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... importantly, bedside ultrasound ... with presence of pulmonary ... the determined cause ... #diagnosis #differential