33 results
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... video, the antecubital ... But in rare cases ... (neck is inaccessible ... estimation #Clinical #Video
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms causes ... previously flat neck ... PhysicalExam #clinical #video ... #vascular #neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... (video). ... Causes = RV failure ... #PhysicalExam #Video ... #Clinical #Neck
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... demonstrated in the video ... the underlying cause ... #Friedreichs #Neck ... #Clinical #Video
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... anaphylaxis, release syndrome ... table #comparison #criticalcare
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign on Neck ... heart failure syndrome ... cardiomyopathy, massive pulmonary ... #PhysicalExam #Video ... #Clinical #JVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... have elevated JVP ... #Neck #PhysicalExam ... #Clinical #Video
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Ehlers-danlos Syndrome ... Birt-Hogg-Dubé Syndrome ... Bronchiolitis - Nick ... differential #diagnosis #causes ... #pulmonary
Kussmaul's Sign on Physical Exam

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

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and other rarer causes ... physicalexam #clinical #video ... #jvp #cardiology ... #neck #jugular
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Cannon A Waves on Neck ... block, or, as this case ... CannonA #AWaves #Neck ... #PhysicalExam #JVP ... #Clinical #Video