10 results
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 ... as Friedreich’s sign ... #Kussmauls #Sign ... #Cardiology
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 ... with + Kussmaul sign ... Kussmaul's sign ... #Kussmauls #Sign ... #cardiology #neck
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 ... Most likely diagnosis ... + XRT tattoo = constrictive ... #Kussmauls #Sign
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... ASA, Kussmaul's sign ... , marked pedal edema ... , and clear lungs ... Echocardiogram #a4c
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... JVP was enough to ... diagnose CP, prominent ... and Kussmaul’s sign ... #a4c
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
balance • Flat neck ... ischemic changes CXR ... • Pulmonary vascular ... Transfusion-related acute lung ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... auscultation, JVD ... #algorithm #management ... #cardiology #treatment
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
position Obstructive lung ... The following signs ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... structural and vascular ... a chest x-ray (CXR ... not seen on a CXR ... #Lung #Pulmonary