Vivek Kulkarni MD Profile picture
Cardiologist/Educator @CooperHealthNJ @CooperMedSchool. APD @CooperCVFellows. @PennCVFellows 21 @HGSE 18 @BrighamMedRes 17 @YaleMed 14 @WUSTLArtSci 09. #MedEd
Feb 17, 2022 12 tweets 6 min read
One of the best examples I’ve seen of Kussmaul’s sign: inspiratory increase in JVP.

Why does this happen?

My first #tweetorial 🧵, a la @AvrahamCooperMD @tony_breu @AndreMansoor

#meded #cardioed #cardiotwitter @CooperCVFellows @CooperIMRes @BrighamMedRes @PennCVFellows

1/ 2/ Normally, with inspiration, the negative intrathoracic pressure is transmitted to the heart chambers (❤️ is in the thorax, after all), which makes JVP decrease. Here is an example of normal: neck veins collapsing with inspiration, then filling again with expiration.
Jun 30, 2021 7 tweets 3 min read
On my last day as a trainee, I’m reflecting back on the best advice I’ve received at each stage.

Hopefully this 🧵 may offer something. #MedStudentTwitter #medtwitter #internalmedicine #cardiotwitter #ACCFIT #meded #cardioed

1/
2/ Pre-clinical med students—Immerse yourself in what you’re learning. Remember that you’re building a foundation to be a great doctor, not just preparing for exams.