13 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 ... sign! ... and other rarer causes ... #Sign #physicalexam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... Kussmaul's sign ... #Sign #physicalexam ... #differential #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... Kussmaul's sign ... Causes = RV failure ... #Sign #PhysicalExam
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... the underlying cause ... #Neck #JVP #PhysicalExam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... regimental badge" anesthesia ... #UpperLimb #Extremity ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity ... saddle (perineal) anesthesia ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
in Anaesthesia ... of more of the signs ... pack. ❸ Remove all ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... cyanosis - Cool extremity ... #differential #diagnosis ... #lower #extremity ... #msk #physicalexam
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Guidelines for Crises ... Signs of severe ... tachyarrhythmias may all ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... sign, causing the ... the underlying diagnosis ... PHTN #JVP #Neck #PhysicalExam