16 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... sign shown , what ... ’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... that’s called “clinical ... ’s called Frog sign ... #JVP #Cardiology ... #Neck #Frog #Sign
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #PhysicalExam #Clinical ... #Video #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... anterior wall MI ... #Wellens #Sign # ... Electrocardiogram #Diagnosis ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Ischemia #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 ... Equivalents #ECG #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
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 #ClotInTransit
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
- Widespread T wave ... Normalization Spodick's sign ... seen in acute MI ... electrocardiogram #cardiology ... #diagnosis #clinical
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
mass and NO prior signs ... or clinical history ... surgeon had a clinical ... Differential diagnosis ... #clinical #Radiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
poor prognostic signs ... ; ratio of neck ... Infarction #acuteMI #cardiology ... #differential # ... diagnosis #timeline