neck jvp peds diagnosis acltear kussmauls a4c constrictive phtn awaves - GrepMed

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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

because she also has Kussmaul's ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... #Giant #PHTN #JVP ... #Neck #PhysicalExam

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

100/82, HR 74, JVP ... 15 cm ASA, Kussmaul's ... pedal edema, and clear ... expiration not meeting diagnostic ... Echocardiogram #a4c

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