24 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... that’s called “clinical ... ’s called Frog sign ... 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 ... the underlying diagnosis ... #PhysicalExam #Clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #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 ... #EKG #diagnosis ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... (Eiffel Tower sign
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
syncope (ruling out differential ... diagnoses), ruling ... orthostatic vital sign ... and an initial ECG ... should be guided by clinical
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
most common causes ... more than one cause ... (e.g. cirrhosis ... dullness, puddle sign ... incisional). 3) Signs
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Differential Bilat ... partially seen shred sign ... NOT definitively diagnose ... #clinical #ultrasound
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 ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical