13 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 ... No constriction! ... DDx includes constriction ... and other rarer causes ... of right-sided HF
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Tamponade* • Constriction ... Stable Angina • Acute ... Interstitium • ILD • CHF ... #Causes
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Causes of Acute ... Differential Diagnosis Algorithm ... Tamponade* • CHF ... Anaphylaxis* #Acute ... #Causes
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
CHF - Left-Sided ... Differential Diagnosis Algorithm ... • Pericardial Constriction ... #CHF #LeftSided ... #causes
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis Algorithm ... infarction • Acute ... pneumothorax • Constrictive ... Differential #Diagnosis #Algorithm ... #shock #causes
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... Differential Diagnosis Algorithm ... heart failure • Constrictive ... • Sepsis • Acute ... #Causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Pericardium • Constrictive ... Disease • Acute ... Veno-Occlusive Disease #RHF ... Differential #Diagnosis #Algorithm
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... Infiltrative disease • Acute ... Heart failure • Constrictive ... #Hepatology #causes
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... tamponade • AECOPD/ Acute ... Hypovolemic shock • Constrictive ... Differential #Diagnosis #Algorithm ... #causes
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute ... Autoimmune hepatitis, Acute ... Budd-Chiari, Congestion/CHF ... Differential #Diagnosis #Causes ... #Acute #algorithm