32 results
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
: • ST vs SVT ... • Tx: Vagal maneuvers ... > SVT+conduction ... whether AF is cause ... Tx: Underlying cause
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
• Bradycardia caused ... Pheochromocytoma • Pulmonary ... Arrhythmias: • SVT ... & termination: SVT ... or other vagal maneuvers
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Attempt vagal maneuvers ... with caution in pulmonary ... Treat underlying cause ... with caution in pulmonary ... Treat underlying cause
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Flow of Dilated Abdominal ... have distended abdominal ... What is the cause ... practical use: the maneuver ... #veins #Clinical
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Supraventricular Tachycardia ... ’s a great ECG case ... consistent with SVT ... EM_RESUS #AVRT #SVT ... Cardiology #EKG #Clinical
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
with an acute pulmonary ... strain showing tachycardia ... branch block, ST ... in V1 - V4 #Clinical
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Pathogenesis and Clinical ... presents with acute abdominal ... acute or chronic abdominal ... low JVP, resting tachycardia ... percussion • Nausea
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
This change causes ... and the anterior abdominal ... Breathing #Diaphragm #Clinical ... #PhysicalExam #Pulmonary
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... Drive: • Sinus Tachycardia ... • Non-specific ST-T
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... dual-chamber PPM set ... and an atrial tachycardia ... PhysicalExam #JVP #Clinical