17 results
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 ... shown , what’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Fusion of Lancisi Sign ... with Every Beat - Cannon ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
to embolize • Cannot ... differentiate infective ... absent How can we differentiate ... pathognomonic signs ... is required for diagnosis
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... Abdominal XRay - Differential ... • infection (e.g ... #Differential # ... Diagnosis #radiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... Diagnosis - Absent ... pulmonic stenosis - Cannon ... #Diagnosis #PhysicalExam ... #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... #physicalexam # ... diagnosis #cardiology ... #differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Marantic (NTBE) Differential ... Diagnosis: • Rheumatic ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... #bradycardia #diagnosis ... #differential # ... management #cardiology