10 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive ... blue marks on her chest ... you evaluate her JVP ... Causes = RV failure ... #PhysicalExam #
Kussmaul's Sign on Physical Exam

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

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No constriction! ... DDx includes constriction ... and other rarer causes ... #physicalexam # ... clinical #video #jvp
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... the skin (middle chest ... the underlying cause ... + XRT tattoo = constrictive ... #PhysicalExam #
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... 100/82, HR 74, JVP ... ASA, Kussmaul's sign ... transthoracic echocardiogram ... #a4c #pocus #clinical
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... associated with constrictive ... #physicalexam # ... #differential #causes
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Echocardiogram ... Many underlying causes ... not limited to: MVP ... tissue d/o, blunt chest
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave caused ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... Neck #Jugular #JVP
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... on Echocardiogram ... JVP was enough to ... and Kussmaul’s sign ... #POCUS #clinical
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... fall of mean #JVP ... Commonest cause ... Constriction, restrictive ... #Kussmauls #PhysicalExam
Pickelhaube Sign on Echocardiogram
Pickelhaube sign may be seen in mitral valve prolapse (MVP): High velocity (≥
Pickelhaube Sign ... on Echocardiogram ... prolapsing leaflets causes ... #Echocardiogram ... #POCUS #cardiology