24 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
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Non-Malignant • Fatty Liver ... Budd-Chiari Syndrome • Constrictive ... Diagnosis #Algorithm #Causes
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Post-Hepatic: • Cardiac causes ... heart failure and constrictive ... sarcoidosis) • Liver ... metastasis • Fatty liver ... Differential #Diagnosis #causes
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... disease • Acute liver ... Heart failure • Constrictive ... Algorithm #Hepatology #causes
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... failure - Constrictive ... Liver disease ... - Acute fatty liver ... peritonitis #Ascites #Causes
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... = nonspecific (nausea ... malaise) → Acute liver ... Antithrombin Ill • Ultrasound