11 results
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 ... louder second component ... Clinical #Video #Cardiology
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... #PhysicalExam #JVP ... #Cardiology #Neck ... #Frog #Sign
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Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform Components ... • c wave - caused ... y descent - is caused ... #Waveforms #JVP ... #PhysicalExam #cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... ) Algorithm Outward ... Fusion of Lancisi Sign ... @saipeeps #JVP ... #diagnosis #cardiology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... Diagnosis Algorithm ... - Gitelman SIGNS ... Cl⁻ with other components ... #Pathophysiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave ... caused by tricuspid ... #PhysicalExam #Cardiology ... Neck #Jugular #JVP
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Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Hyperkalemia Differential ... Diagnosis Algorithm ... Alwavs Repeat Blood ... #causes #potassium ... #high #pathophysiology
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 ... physicalexam #diagnosis #cardiology ... causes
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... STE: "Pardee's sign ... (Eiffel Tower sign ... #diagnosis #cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Physical Exam: ↑JVP ... Cardiomyopathy #Diagnosis #Causes ... #differential # ... cardiology #algorithm