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Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... Kussmaul's sign ... Kussmaul's sign ... #Sign #physicalexam
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
size, coarsening facial ... decade → peripheral/acral ... Mortality due to CVD ... Differential Diagnosis ... mixed adenoma, ↓(TFT