10 results
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 ... Note the giant cv wave ... with the giant v wave ... #Lancisis #Sign
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 ... EMdoc14 #CannonA #AWaves ... #AVNRT #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
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... systolic jugular venous ... wave caused by ... #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 ... Regurgitation A large venous ... wave, or Giant ... V wave, is visible ... #Lancisis #Sign
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... you see in the venous ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... PHTN #JVP #Neck #PhysicalExam
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Algorithm Outward Wave ... 'CV' Fusion of Lancisi ... Sign • Not with ... Cannon 'A' Inward Wave ... #cardiology #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 ... Equivalents #ECG #EKG #diagnosis
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 ... Ischemia #ECG #EKG #diagnosis
De Musset's sign of venous origin - Lateral Head Bob (Heart rate ~130 bpm.)

De Musset's of
De Musset's sign ... is monophasic: Lancisi's ... TR based on: 1) Lancisi's ... monophasic CV wave ... TricuspidRegurgitation #TR #PhysicalExam