15 results
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... and other rarer causes ... #Sign #physicalexam ... clinical #video #jvp ... cardiology #neck #jugular
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... ... regular cannon ... #AWaves #AVNRT ... #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... abrupt rise in RA pressure ... to diagnose the ... excludes other differentials ... #PhysicalExam #JVP
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... Venous Pressure ... with Every Beat - Cannon ... #diagnosis #cardiology ... #physicalexam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #Sign #physicalexam ... causes
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Venous Pressure ... pulmonic stenosis - Cannon ... #Waveforms #JVP ... Diagnosis #PhysicalExam
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... Causes = RV failure ... #Sign #PhysicalExam ... #Jugular #Constrictive
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... the y descent cannot ... #Waves #Jugular ... #Waveforms #JVP ... #PhysicalExam #cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... #Neck #PhysicalExam
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
Central venous pressure ... atrial pressure ... Classic “cannon ... wavescaused by ... Interpretation #Diagnosis