9 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
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... presents with dyspnea ... the underlying cause ... Kussmaul's (JVP ... + XRT tattoo = constrictive
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Dyspnea - Differential ... Diagnosis Algorithm ... Tamponade* • Constriction ... Interstitium • ILD • CHF ... Acidosis #Chronic #Dyspnea
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Causes of Acute ... Dyspnea - Differential ... Diagnosis Algorithm ... Tamponade* • CHF ... #Causes
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... Differential Diagnosis Algorithm ... Tamponade • Constrictive ... amzn.to/2LmUODZ #Dyspnea ... #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
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Differential Diagnosis Algorithm ... i.e. cancer) • Dyspnea ... lung disease or CHF ... Differential #Diagnosis #Algorithm ... #causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Cardiac Causes ... Pericardium • Constrictive ... Veno-Occlusive Disease #RHF ... Differential #Diagnosis #Algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... the determined cause ... #differential #algorithm ... #heartfailure #chf