11 results
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!

-
and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology ... #neck #jugular
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
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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia Regular ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Femoral or Internal Jugular ... DCSI #Initiative #Management ... #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
simultaneously at regular ... EKG of the same ... to diagnose the case ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Wide-Complex Tachycardia Regular ... nodal agents (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
CVP In this video ... E.g. in a cold room ... But in rare cases ... Antecubital #Vein #PhysicalExam ... #estimate #Cardiology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... SIADH — look for cause ... hourly • Identify Cause ... Addison's, Renal Tubular ... #algorithm #treatment