12 results
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... and other rarer causes ... physicalexam #clinical #video ... #jvp #cardiology ... #neck #jugular
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
3 different P wave ... A regular rhythm ... conduction Regular ... differential #diagnosis #causes ... #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... Causes = RV failure ... #PhysicalExam #Video ... Clinical #Neck #JVP #Jugular ... Pericarditis #Cardiology
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
AFIutter) • P-waves ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes ... #cardiology
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... and an atrial tachycardia ... VivekKulkarniMD #CannonA #AWaves ... JVP #Clinical #Video ... #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... amzn.to/2LmUODZ #AWaves ... PhysicalExam #Clinical #Video ... #Cardiology
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... Diagnosis and Management ... SarahFoohey #Tachycardia ... Differential #Diagnosis #Management ... #cardiology #wide
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
A large venous wave ... , or Giant V wave ... It is caused by ... PhysicalExam #Clinical #Video ... #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Regular Rhythm: ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER Narrow - Regular ... (1) Sinus tachycardia ... 3 different P waves ... 200ms from longer pause ... electrocardiogram #cardiology