11 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 ... #Sign #physicalexam ... clinical #video #jvp #cardiology
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 ... #Sign #PhysicalExam ... Pericarditis #Cardiology
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 - 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 - 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 and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... Most likely diagnosis ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP #PhysicalExam ... Clinical #Video #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
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
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 ... pocus #clinical #cardiology
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... on Echocardiogram ... was referred to cardiology ... was enough to diagnose ... y descent and Kussmaul