31 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... Causes = RV failure ... pericarditis (this case ... Kussmauls #Sign #PhysicalExam ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

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

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and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... y descent - is caused ... Waveforms #JVP #PhysicalExam ... #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
Workup for cause ... "just another case ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
the nails can be caused ... paired white lines caused ... Ridges #Clinical #PhysicalExam ... #Photo
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... #AWaves #Neck #PhysicalExam ... Clinical #Video #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... Regurgitation #PhysicalExam ... #Jugular #JVP #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... PHTN #JVP #Neck #PhysicalExam ... Clinical #Video #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
the underlying cause ... Friedreichs #Neck #JVP #PhysicalExam ... Clinical #Video #Cardiology