14 results
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
video, the antecubital ... E.g. in a cold room ... But in rare cases ... estimation #Clinical #Video ... #estimate #Cardiology
Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
patient’s index finger ... Corrigan’s pulse ... chronic severe aortic ... #PhysicalExam #Video ... AorticRegurgitation #Signs #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
60 (1) Sinus bradycardia ... pause 2º - Mobitz ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... • His-Purkinje Fiber ... Tachy-Brady syndrome • Aortic ... #differential # ... #cardiology #BRADI
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... cannon a waves are ... to diagnose the case ... excludes other differentials ... #Cardiology #Neck
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... infarction • Aortic ... OTHER RARE CAUSES ... #Diagnosis #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... ., aortic insufficiency ... regurgitation • Severe aortic ... #Palpitations #Cardiology ... #Differential #
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... is identified (video ... ) and AV shunt are ... highest on my differential ... Fingernails #Nailbed #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Blood cultures are ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Post-cardioversion • Acute aortic ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram