19 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 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
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... associated with constrictive ... #Sign #physicalexam ... #diagnosis #cardiology
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 ... circumferential pericardial effusion ... expiration not meeting diagnostic
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
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural Effusion ... - Differential Diagnosis ... Algorithm Transudate ... heart failure • Constrictive ... #Algorithm #Hepatology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... has pericardial effusion ... with similar peri effusion ... Had diagnostic tap-fever ... Pericarditis #CP #POCUS #Echocardiogram
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... Pericardium: - Constrictive ... • Pleura: - Effusion ... Transverse myelitis • Hematology ... #differential #diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Algorithm Pericardial ... • Effusion ... Tamponade* • Constriction ... #Algorithm #Causes
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
- Differential Diagnosis ... Algorithm Malignant ... Budd-Chiari Syndrome • Constrictive ... #Algorithm #Causes ... #Hepatology