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 ... constriction, restrictive cardiomyopathy ... and other rarer causes ... #Sign #physicalexam ... clinical #video #jvp #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
intrathoracic pressure "sucks ... include restrictive cardiomyopathy ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... Commonest cause ... Constriction, restrictive cardiomyopathy ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... Hypertrophic Cardiomyopathy ... , Ventricular Tachycardia ... #Nonlschemic #Causes ... Differential #Diagnosis #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Kussmaul's sign ... Causes = RV failure ... #Sign #PhysicalExam ... Pericarditis #Cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... • ATRIAL TACHYCARDIA ... HEART FAILURE • CARDIOMYOPATHY ... #Palpitations #Causes ... Differential #Diagnosis #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Normal variant Pulsus ... heart failure Pulsus ... • Restrictive Cardiomyopathy ... Abnormalities #Disorders #Cardiology ... Diagnosis #Algorithm #causes
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
artery disease • Cardiomyopathy ... heart disease Causes ... Supraventricular tachycardia ... (PVC-induced cardiomyopathy ... #differential #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
twitching CARDIAC CAUSES ... Nonarrhythmic Cardiac Causes ... : • Cardiomyopathy ... NON-CARDIAC CAUSES ... #Palpitations #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... depression Takotsubo Cardiomyopathy ... block; and sinus tachycardia ... voltage Other Causes ... differential #diagnosis #cardiology