10 results
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's ... the underlying cause ... + XRT tattoo = constrictive ... #Neck #JVP #PhysicalExam
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Heart failure/constrictive ... Tuberculosis #SAAG ... #gradient #hepatology
Kussmaul's Sign on Physical Exam

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

-
Kussmaul's Sign ... No constriction! ... DDx includes constriction ... and other rarer causes ... #Sign #physicalexam
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... ) SAAG ≥ 1.1: ... budd-chiari • CHF • Constrictive ... #hepatology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... in Constrictive ... Causes = RV failure ... descent is known as Friedreich ... #Sign #PhysicalExam
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... hypertension (SAAG ... failure - Constrictive ... #Causes #diagnosis ... #differential #hepatology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... associated with constrictive ... #Sign #physicalexam ... #differential #causes
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... heart failure and constrictive ... #hepatology
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 Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Heart failure • Constrictive ... amzn.to/2LmUODZ #Ascites ... Diagnosis #Algorithm #Hepatology ... #causes