11 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
(video). ... the underlying diagnosis ... #PhysicalExam #Video ... #Clinical #Neck ... #JVP #Jugular #
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... #physicalexam #clinical ... #video #jvp #cardiology ... #neck #jugular
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #treatment #management
Canon A waves in a patient with AV dissociation

Occurs due to the simultaneous contraction of atria
pressure wave travels ... A wave in the JV ... #dissociation #clinical ... #video #JVP #jugular
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
lack of fall) of jugular ... cardiomyopathy, massive pulmonary ... #PhysicalExam #Video ... #Clinical #JVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... have elevated JVP ... the underlying diagnosis ... #PhysicalExam #Clinical ... #Video #Cardiology
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
with suspected pulmonary ... paradoxical rise in jugular ... venous pressure (JVP ... #PhysicalExam #Clinical ... #Video #Neck #JVP
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... heart function (JVD ... regurgitation) Diagnosis ... defects • Confirm diagnosis ... #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... auscultation, JVD ... with presence of pulmonary ... establishing a diagnosis ... #algorithm #management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... Disease: • 10%-15% Pulmonary ... , INC risk PE, Pulmonary ... (Type I) renal tubular ... #Management