2 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
because she also has Kussmaul's ... have elevated JVP ... #Giant #PHTN #JVP ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Neck Examination ... like a constant cannon ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology