11 results
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... with suspected pulmonary ... #Kussmauls #Signs ... #PhysicalExam # ... #Cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... The Kussmaul sign ... #Kussmauls #Sign ... #PhysicalExam # ... Video #Clinical #JVP
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Pneumothorax, Alveolar ... , Volume Exam (JVP ... , edema), Lung Exam ... POCUS (B-lines, lung ... Troponin), ABG, STAT CXR
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
Progressing to diffuse alveolar ... involvement, with “white lung ... oedema due to heart ... #Clinical #Radiology ... #CXR #ChestXRay
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... because she also has Kussmaul's ... sign, causing the ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
(alveolar edema ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
Lung Findings on ... distal airways/alveoli ... edema and pneumonia ... #PhysicalExam # ... diagnosis #signs
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Kerley B lines, alveolar ... of CXR congestion ... diagnosis #management #cardiology
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 ... sign, marked pedal ... edema, and clear ... lungs.
Based on the images alone, it is usually not possible to determine the cause of the
edema - filling ... of the alveoli ... nodular interstitial lung ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation