{"id":26870,"date":"2018-09-25T01:43:46","date_gmt":"2018-09-25T01:43:46","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=26870"},"modified":"2018-09-25T01:43:46","modified_gmt":"2018-09-25T01:43:46","slug":"thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/","title":{"rendered":"Thirty year old with ankle edema &#8211; Medicine MCQ &#8211; CVS &#8211; Answer"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Thirty year old with ankle edema &#8211; Medicine MCQ &#8211; CVS &#8211; Answer<\/span><\/h2>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/Emhg9dOqbsM\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><br \/>\n<span style=\"color: #0000ff;\"><strong>Thirty year old individual presents with ankle edema. He gives history of aspiration of fluid from the epigastric region two years back and medications for 6 months. Which of the following physical finding can link the two together? \u2013 Correct answer: d) Kussmaul&#8217;s sign<\/strong><\/span><\/p>\n<p>History is suggestive of aspiration of pericardial effusion which is usually done from the epigastric route. It is usually done under fluoroscopic guidance in the cardiac catheterization laboratory. In an emergency it can be done in the intensive care unit or emergency department with bedside echocardiographic guidance. A person with history of tuberculous pericardial effusion can sometimes present later with features of constrictive pericarditis. <span style=\"color: #0000ff;\">Ankle edema in this case is due to severe right sided congestion as venous drainage into the heart is impeded by the thickened pericardium. <span style=\"color: #000000;\">Venous pressures are very much elevated, causing edema, hepatomegaly and ascites. It can even be mistaken for cirrhosis liver unless one is careful in evaluating the jugular venous pressure.<\/span><\/span><\/p>\n<p>Kussmaul&#8217;s sign is a paradoxical inspiratory rise in jugular venous pressure, seen in constrictive pericarditis. But the commonest cause of Kussmaul\u2019s sign in an intensive care unit is likely to be right ventricular infarction. Other causes of severe right ventricular failure can also manifest a Kussmaul&#8217;s sign.<\/p>\n<p><a href=\"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs\/\"><strong>Back to question<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thirty year old with ankle edema &#8211; Medicine MCQ &#8211; CVS &#8211; Answer Thirty year old individual presents with ankle edema. He gives history of aspiration of fluid from the epigastric region two years back and medications for 6 months. Which of the following physical finding can link the two together? \u2013 Correct answer: d) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":26743,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[13],"tags":[],"class_list":["post-26870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine-mcq-cvs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Thirty year old with ankle edema - Medicine MCQ - CVS - Answer<\/title>\n<meta name=\"description\" content=\"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer: d) Kussmaul&#039;s sign. History suggests constrictive pericarditis.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer\" \/>\n<meta property=\"og:description\" content=\"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer: d) Kussmaul&#039;s sign. History suggests constrictive pericarditis.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-25T01:43:46+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Thirty year old with ankle edema &#8211; Medicine MCQ &#8211; CVS &#8211; Answer\",\"datePublished\":\"2018-09-25T01:43:46+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/\"},\"wordCount\":239,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Medicine MCQ - CVS\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/\",\"name\":\"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2018-09-25T01:43:46+00:00\",\"description\":\"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer: d) Kussmaul's sign. History suggests constrictive pericarditis.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Thirty year old with ankle edema &#8211; Medicine MCQ &#8211; CVS &#8211; Answer\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer","description":"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer: d) Kussmaul's sign. History suggests constrictive pericarditis.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/","og_locale":"en_US","og_type":"article","og_title":"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer","og_description":"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer: d) Kussmaul's sign. History suggests constrictive pericarditis.","og_url":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2018-09-25T01:43:46+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Thirty year old with ankle edema &#8211; Medicine MCQ &#8211; CVS &#8211; Answer","datePublished":"2018-09-25T01:43:46+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/"},"wordCount":239,"commentCount":0,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#primaryimage"},"thumbnailUrl":"","articleSection":["Medicine MCQ - CVS"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/","url":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/","name":"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#primaryimage"},"thumbnailUrl":"","datePublished":"2018-09-25T01:43:46+00:00","description":"Thirty year old with ankle edema - Medicine MCQ - CVS - Answer: d) Kussmaul's sign. History suggests constrictive pericarditis.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/thirty-year-old-with-ankle-edema-medicine-mcq-cvs-answer\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Thirty year old with ankle edema &#8211; Medicine MCQ &#8211; CVS &#8211; Answer"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/26870","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=26870"}],"version-history":[{"count":0,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/26870\/revisions"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=26870"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=26870"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=26870"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}