11 results
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
Kussmaul's sign ... has Kussmaul's ... associated with constrictive ... #Sign #PhysicalExam ... #Neck #Veins #Cardiology
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 ... #Neck #JVP #PhysicalExam
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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No constriction! ... and other rarer causes ... #Sign #physicalexam ... clinical #video #jvp ... cardiology #neck #jugular
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Causes = RV failure ... descent is known as Friedreich ... #Sign #PhysicalExam ... #Jugular #Constrictive
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
lack of fall) of jugular ... associated with constrictive ... #PhysicalExam # ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Prehepatic: • Portal vein ... thrombosis • Splenic vein ... Heart failure • Constrictive ... Diagnosis #Algorithm #Hepatology
JVP Respiratory Variation on Neck Physical Examination
If the prominence of pulsations swells and falls with the
with inspiration (Kussmaul ... bronchospasm) - they’re veins ... Respiratory #Variation #PhysicalExam ... #Neck #Normal #Jugular ... #Vein #Venous
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
in the portal vein ... and free hepatic vein ... syndrome (hepatic vein ... Pre-Hepatic • Portal vein ... #hepatology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... venous wave caused ... to pulsatile IJ vein ... Regurgitation #PhysicalExam ... #JVP
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... failure - Constrictive ... Portal vein occlusion ... #Causes #diagnosis ... #differential #hepatology