9 results
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 ... + XRT tattoo = constrictive ... #Sign #Friedreichs ... #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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Kussmaul's Sign ... No constriction! ... DDx includes constriction ... and other rarer causes ... #Sign #physicalexam
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Kussmaul's sign ... Causes = RV failure ... descent is known as Friedreich ... #Sign #PhysicalExam
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
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
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
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN Signs of portal ... HTN: ascites (SAAG ... HTN: • Ascites ... heart failure and constrictive ... #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Portal hypertension ... failure - Constrictive ... #Causes #diagnosis ... #differential #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... dullness, puddle sign ... incisional). 3) Signs ... Differential #Diagnosis #hepatology