30 results
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... 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 ... in Constrictive ... the underlying diagnosis ... Causes = RV failure ... #Sign #PhysicalExam
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... SAAG ≥ 1.1: - Ascitic ... Heart failure/constrictive ... albumin #gradient #hepatology ... #differential #diagnosis
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 #causes
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... - Serum Ascites ... budd-chiari • CHF • Constrictive ... #Differential #Diagnosis ... Gradient #SAAG #hepatology
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 ... the underlying cause ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP #PhysicalExam
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Differential Diagnosis ... Heart failure • Constrictive ... #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
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... failure - Constrictive ... - Bile ascites ... #Causes #diagnosis ... #differential #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