33 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... #PhysicalExam #JVP ... #Cardiology #Neck
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... venous wave caused ... seen on POCUS and ... #PhysicalExam #Cardiology ... #JVP
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
- Differential ... repolarization Myocardial ischemia ... intracranial bleeds) and ... #Diagnosis #Causes ... #Cardiology #ECG
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
her JVP (video) ... the underlying diagnosis ... Causes = RV failure ... #Jugular #Constrictive ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... other rarer causes ... clinical #video #jvp ... #cardiology #neck ... #jugular
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... bowel disease: UC and ... • infection (e.g ... colitis) • bowel ischemia ... Diagnosis #radiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... upsloping ST dep and ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #cardiology #differential ... #causes