Ulnar radiology sign diagnosis comparison physicalexam lung jvp fracture kussmauls awaves a4c

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

because she also has Kussmaul's ... sign, causing the ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam

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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

100/82, HR 74, JVP ... 15 cm ASA, Kussmaul's ... sign, marked pedal ... edema, and clear lungs ... Echocardiogram #a4c

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