26 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... you evaluate her JVP ... Causes = RV failure ... #PhysicalExam # ... Clinical #Neck #JVP
Paronychia
Inflammation of the nail folds - red, swollen, often tender. Frequent immersion in water a risk
#Paronychia #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
#Terrys #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Leukonychia #striata #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Kussmaul's Sign on Physical Exam

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

-
Kussmaul's Sign ... with + Kussmaul sign ... and other rarer causes ... #physicalexam # ... clinical #video #jvp
Acral Lentiginous Melanoma (involving nail)

While acral lentinginous melenoma is often seen anywhere on the palms, soles,
Lentiginous #Melanoma #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... What 2 eponymous JVP ... the underlying cause ... #PhysicalExam #
Nail Pitting
Non-specific sign for psoriasis (additional signs include onycholysis, thickening, and 'oilspot' lesions which are yellow
Non-specific sign ... #Pitting #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Typically the JVP ... or increase in JVP ... #physicalexam # ... #differential #causes
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 ... #Lancisis #sign ... Regurgitation #PhysicalExam ... Neck #Jugular #JVP