11 results
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... Regurgitation #PhysicalExam ... #Clinical #Video ... #Neck #Jugular ... #JVP #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
It is caused by ... Regurgitation #PhysicalExam ... #Clinical #Video ... #Neck #Jugular ... #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology ... #neck #jugular
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Regular Rhythm: ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... and an atrial tachycardia ... #PhysicalExam # ... JVP #Clinical #Video ... #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER Narrow - Regular ... 200ms from longer pause ... bradyarrhythmia #ECG ... electrocardiogram #cardiology ... #differential
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... #Neck #JVP #Jugular ... Pericarditis #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 ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... in the chest or neck ... exam • 12-lead ECG ... #Palpitations #Cardiology ... #Differential #
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management