24 results
Kussmaul's Sign on Physical Exam

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

-
Kussmaul's Sign ... What’s the diagnosis ... No constriction! ... DDx includes constriction ... #Sign #physicalexam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... associated with constrictive ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... Serum Ascites Albumin ... budd-chiari • CHF • Constrictive ... Gradient #SAAG #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 ... the underlying diagnosis ... Kussmaul's sign ... #Sign #PhysicalExam
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... serum ascites albumin ... Heart failure/constrictive ... #gradient #hepatology ... #differential #
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... Most likely diagnosis ... Kussmaul's (JVP ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP #PhysicalExam
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... protein • Fluid albumin ... and serum albumin ... gastroenterology #hepatology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... JVP 15 cm ASA, Kussmaul's ... transthoracic echocardiogram ... expiration not meeting diagnostic ... #Pericarditis #Echocardiogram
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Serum to Ascites Albumin ... designed to keep albumin ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG ... Interpretation #Differential
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Hepatomegaly - Differential ... Diagnosis Algorithm ... Budd-Chiari Syndrome • Constrictive ... #Diagnosis #Algorithm ... #Causes #Hepatology