11 results
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... What’s the diagnosis ... #Sign #physicalexam ... #cardiology #neck ... #jugular
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... s the clinical sign ... ... regular cannon ... #AWaves #AVNRT ... #JVP #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... on her chest (photo ... the underlying diagnosis ... Kussmaul's sign ... #Sign #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... to diagnose the ... #Awaves #AVNRT ... #PhysicalExam #JVP ... #Cardiology #Neck
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... Fusion of Lancisi Sign ... with Every Beat - Cannon ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... #Neck #JVP #PhysicalExam
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... pulmonic stenosis - Cannon ... #Waveforms #JVP ... #PhysicalExam # ... cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... sign, causing the ... the underlying diagnosis ... #Neck #PhysicalExam
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... the y descent cannot ... #Waves #Jugular ... #Waveforms #JVP ... #PhysicalExam #cardiology