10 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! ... sign can be seen ... #Sign #physicalexam
Kussmaul’s sign on Physical Exam

20/F, diagnosed as lupus based on polyserositis and a weak ANA. 

#Kussmauls
Kussmaul’s sign ... Exam 20/F, diagnosed ... #Kussmauls #sign ... #JVP #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 ... #Sign #Friedreichs ... #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... Kussmaul's sign ... as Friedreich’s sign ... #Sign #PhysicalExam
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 ... HF → no signs of ... CXR congestion.
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
because she also has Kussmaul's ... sign, causing the ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #Cardiology
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 ... lung injury (TRALI ... #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
chamber size and valvular ... poor prognostic signs ... ; ratio of neck ... #cardiology #differential ... #diagnosis #timeline
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
dyspnoe due to acute ... 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