chips video sign signs pulmonary msk diagnosis knee shoulder effusion jvp awaves clinical a4c

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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

by pulmonary HTN ... has Kussmaul's sign ... the underlying diagnosis ... #PhysicalExam #Clinical ... #Video #Cardiology

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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 ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c

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