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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constriction, restrictive cardiomyopathy ... and other rarer causes ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... include restrictive cardiomyopathy ... #physicalexam # ... diagnosis #cardiology ... causes
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... fall of mean #JVP ... sided cardiac masses ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... Causes = RV failure ... #PhysicalExam # ... Clinical #Neck #JVP ... Pericarditis #Cardiology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... : Hypertrophic cardiomyopathy ... Regurgitation #differential ... #diagnosis #cardiology ... #causes #primary
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Physical Exam: ↑JVP ... #Diagnosis #Causes ... #differential # ... cardiology #algorithm
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Mediastinal Widening - Differential ... • Masses: Anterior ... Lymphoma, Germ cell tumor ... Pericardial effusion • CXR ... Diagnosis #pulmonary #radiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... from the various causes ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... highest on my differential ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology