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diagnosis clinical physicalexam ekg electrocardiogram aorticregurgitation bradycardia endocarditis fingernails management pulse stemi algorithm antecubital arm avnrt awaves bradi bradyarrhythmia cannon
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
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 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
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 Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... pause 2º - Mobitz ... bradyarrhythmia #ECG ... electrocardiogram #cardiology ... #differential
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 #Neck
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 Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... asymmetrical, similar or bigger ... electrocardiogram #cardiology ... Interpretation #differential
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... • His-Purkinje Fiber ... Tachy-Brady syndrome • Aortic ... #diagnosis #causes ... #cardiology #BRADI
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
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 ... highest on my differential ... EtOH causes thiamine ... Fingernails #Nailbed #Cardiology
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Treat underlying cause ... 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
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