12 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... s the clinical sign ... ... regular cannon ... a waves in AVNRT ... #AVNRT #Neck #PhysicalExam
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on ... with “giant v” waves ... of the jugular ... #Lancisis #Sign ... Clinical #Video #PhysicalExam
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Pressure Waveforms - Differential ... tamponade #Abnormal #Jugular ... Waveforms #JVP #Differential ... #Diagnosis #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
simultaneously at regular ... excludes other differentials ... ’s called Frog sign ... #AVNRT #PhysicalExam ... Cardiology #Neck #Frog #Sign
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... Algorithm Outward Wave ... Fusion of Lancisi Sign ... saipeeps #JVP #Jugular ... diagnosis #cardiology #physicalexam
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... large systolic jugular ... venous wave caused ... #Lancisis #sign ... Regurgitation #PhysicalExam
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... A large venous wave ... , or Giant V wave ... #Lancisis #Sign ... Regurgitation #PhysicalExam
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... 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
Equivalents / Don't Miss Signs ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Lancisi's Sign - ... giant V (or CV) waves ... #Lancisis #Sign ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular