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

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

by pulmonary HTN ... because she also has Kussmaul's ... have elevated JVP ... the underlying diagnosis ... #PHTN #JVP #Neck

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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