15 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
is because she also ... has Kussmaul's sign ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... PHTN #JVP #Neck #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... rapid cannon a waves ... are enough to diagnose ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
evaluation confirmed a diagnosis ... , is a neurologic ... relaxation can also ... #PhysicalExam # ... Clinical #Video #Neurology
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 #EKG #diagnosis ... #differential #
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... sign, involves ... #Babinski #Sign ... #PhysicalExam ... #Diagnosis #Neurology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... (Eiffel Tower sign ... "pinched off" as
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 ... T waves - starts ... Ischemia #ECG #EKG #diagnosis ... Interpretation #differential
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... horizontal movements; also ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
of UMN and LMN signs ... Increased Jaw Jerk reflex ... EMG: LMN Signs in ... conditions listed in differential ... Lateral #Sclerosis #neurology
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Differential Bilat ... Also has partially ... seen shred sign ... NOT definitively diagnose ... POCUS #clinical #ultrasound