Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Kussmaul's Sign on Physical Exam

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on
Kussmaul's Sign ... Exam Kussmaul sign ... #Kussmauls #Sign ... #Video #PhysicalExam ... #Cardiology #JVP
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
Kussmaul's sign ... has Kussmaul's sign ... increase in apparent JVP ... #PhysicalExam # ... #Neck #Veins #Cardiology
Kussmaul's Sign in Constrictive Pericarditis on Physical Exam

- Susan Joseph MD @SusanJosephMD

#Kussmauls #Sign #Pericarditis #physicalexam #clinical
Kussmaul's Sign ... #Kussmauls #Sign ... #Pericarditis #physicalexam ... clinical #video #jvp ... #cardiology #neck
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Regurgitation on JVP ... get from this #JVP ... #TR #Lancisis #Sign ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... Fusion of Lancisi Sign ... @saipeeps #JVP ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Kussmaul's Sign - Jugular Venous Distension with Inspiration

- Dr. Jay Mohan, D.O. https://twitter.com/DrJayMohan

#Kussmauls #Sign #JVD #Neck
Kussmaul's Sign ... #Kussmauls #Sign ... #JVD #Neck #Clinical ... #Video #PhysicalExam ... #Cardiology
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... ” EI > 1 - POCUS ... echocardiogram #psax #diagnosis ... #cardiology #pocus
Kussmaul's Sign on Physical Exam

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

-
Kussmaul's Sign ... What’s the diagnosis ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... #PhysicalExam # ... Clinical #Neck #JVP ... Pericarditis #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP