UCSDH diagnosis causes comparison signs physicalexam reflex kussmauls jvp ajr awaves abnormal phtn

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

Giant A waves caused ... sign, causing the ... the underlying diagnosis ... #Giant #PHTN #JVP ... #Neck #PhysicalExam

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Abnormalities in Rate and Rhythm of Breathing
Normal
The respiratory rate is about 14—20 per min

Kussmaul breathing ... punctuated by frequent sighs ... Occasional sighs ... resistance to air ... #Diagnosis #PhysicalExam

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