27 results
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 ... What’s the diagnosis ... No constriction! ... DDx includes constriction ... #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
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... Cirrhosis • Portal ... budd-chiari • CHF • Constrictive ... #Differential #Diagnosis ... 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
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Differential Diagnosis ... Heart failure • Constrictive ... #Differential #Diagnosis ... #Algorithm #Hepatology
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
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Portal hypertension ... failure - Constrictive ... Portal vein occlusion ... #Causes #diagnosis ... #differential #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 ... Kussmaul's (JVP ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP #PhysicalExam
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... HTN: ascites (SAAG ... HTN: • Ascites ... heart failure and constrictive ... #causes #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

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Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup ... and diff • Total ... total protein ... #Differential #Diagnosis ... gastroenterology #hepatology