leptospirosis traveler causes cardiology pathophysiology travel chf contraction jugular sign

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Kussmaul's Sign on Physical Exam

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

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No constriction! ... and other rarer causes ... of right-sided HF ... clinical #video #jvp #cardiology ... #neck #jugular

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