10 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... fever, what’s the clinical ... sign shown , what ... ’s the diagnosis ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... #PhysicalExam #JVP ... #Cardiology #Neck
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
a patient with Atrial ... Regurgitation #Atrial ... #Fibrillation #Neck ... #JVP #Clinical ... #PhysicalExam #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... Serial EKGS in pts ... #Wellens #Sign # ... #Diagnosis #Cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... Management Clinical ... despite hx HTN) EKG ... precordial leads) - atrial ... #Symptoms #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... #cardiology
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
weakness in the neck ... chest (in a V-sign ... auricular papules Clinical ... Non-small-cell lung ... Prednisone at 1 mg/kg
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... hyperventilate lungs ... axillae and anterior neck ... , invasive BP, CVP ... Intraoperative #Checklist #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... Intraabdominal - Orthopedic ... unless prior heart/lung ... stratification #diagnosis