15 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 ... failure with + Kussmaul ... No constriction! ... DDx includes constriction ... and other rarer causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... in Constrictive ... Kussmaul's sign ... Causes = RV failure ... restrictive CM, constrictive
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... Kussmaul's sign ... associated with constrictive ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... the underlying cause ... Kussmaul's (JVP ... + XRT tattoo = constrictive ... amzn.to/2LmUODZ #Kussmauls
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... Commonest cause ... Constriction, restrictive ... SVC obstruction cause ... #Kussmauls #PhysicalExam
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Tamponade* • Constriction ... Artery Disease • Stable ... Pleural Thickening/Masses ... Diagnosis #Algorithm #Causes
Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
Oxygenation (O2 stable ... - Tube feeds (Pause ... (Sedation off, passes ... Mnemonic #MASCOTS #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
exacerbation (any cause ... Classification #Table ... #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Hemodynamics (Stable ... stratification #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare