12 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... excludes other differentials ... #PhysicalExam # ... JVP #Cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... bpm) • Sinus Bradycardia ... Aflutter • AVNRT ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
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 ... #physicalexam # ... clinical #video ... #jvp #cardiology ... #neck #jugular
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia Regular ... Converts - Probably AVnRT ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
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
Lancisi’s Sign in ... It is caused by ... Regurgitation #PhysicalExam ... #Clinical #Video ... #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

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

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... #Palpitations #Cardiology ... #Differential #
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
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... worsening brady, Signs ... SarahFoohey #bradycardia ... #diagnosis #differential ... #management #cardiology