Kassmaul sign is never found in cardiac tamponade
i.e inspiratory rise in jvp is
not present in cardiac tamponade
Kussmaul sign is present in
cardiac tamponade. That's what was explained.
Bt kussmaul sign absent in
cardiac tamponade.I will recheck my sources for the kussmaul sign
Okay i saw..increased jvp is present and it is common in cardiac tamponade
Okay i saw..increased jvp is present and it is common in cardiac tamponade
overall JVP rises bt inspiratory rise is nt dere
I had read somewhere
I had read somewhere
kussmaul's which is an inspiratory increase is also present..but
it is more pathognomic sign of constrictive pericarditis.
Hence, its not a sure sign of cardiac tamponade
Hence, its not a sure sign of cardiac tamponade
We need harrison for this. Could you check?
On it B)
The table in Harrison says
Kussmaul's sign is absent in tamponade.
A positive Kussmaul sign (seebelow) is rare in cardiac
tamponade.
-Harrison
-Harrison
(***the
table in harrison says it is absent, but the text says it is rare***)
So I guess we ain't wrong after
all (:
Yaay!
during inspiration there is RV enlargement to accommodate more blood and in
cardiac tamponade it can’t dilate more due to the blood enveloping around it so
it pushes the septum and dilates....dilatation causes decrease pressure of right
atrium and hence decrease in JVP
I have read about the septum
being pushed to the left
Ya septum is pushed to left
The abrupt x descent in jvp shows that pressure is
increased
Ya pushed to left
There are a couple of mcq's
asked on the same topic many a times
In tamponade diastole filling
affected so it is transmitted in jugular vein , and presence or absence of JVP is indicative of degree of tamponade severity
Pressure
Pressure
Rapid 'Y' Decent Seen In
Constrictive Pericarditis Is Called As Friedreich's sign
So the conclusion we can draw is, it might be present in cardiac
tamponade but in rare cases. Kussmauls sign is more pathognomic of constrictive
pericarditis and very non specific sign for cardiac tamponade.
Yes!
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