10 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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 ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... Kussmaul's sign ... #physicalexam # ... #causes
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... caused by tricuspid ... #Lancisis #sign ... Regurgitation #PhysicalExam ... Neck #Jugular #JVP
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... Interpretation #differential
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 ... voltage Other Causes
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... (e.g. cirrhosis ... dullness, puddle sign ... incisional). 3) Signs
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... ECG is vital while ... the determined cause ... #diagnosis #differential
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Enteroviruses (e.g ... parenchymatous (tabes ... Acute meningeal signs ... CNS #Infections #differential