7 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... s the clinical sign ... in AVNRT - EMdoc ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... #JVP #Cardiology ... #Neck #Frog #Sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Interpretation #differential
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
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Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... presentation in winter ... tox/infectious workup ... Delirium #Evaluation #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... - Distended neck ... crackles, elevated JVP
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
than one cause (e.g ... dullness, puddle sign ... incisional). 3) Signs ... Jcortesizaguirr #Ascites #workup ... #Differential #