44 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
shortness of breath ,fever ... , what’s the clinical ... shown , what’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
, hemoptysis Treatment ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Diagnosis #ECG ... #EKG #Management
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
) The exact level ... E.g. in a cold room ... But in rare cases ... Antecubital #Vein #PhysicalExam ... #Clinical #Video
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 ... that’s called “clinical ... #AVNRT #PhysicalExam ... #JVP #Cardiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... Lung Abscess - Clinical ... Blood cultures • CXR ... #Abscess #pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... with low oxygen level ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... edema • BNP level ... <100 pg/ml EKG ... ischemic changes CXR ... Transfusion-related acute lung
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
CBC, vitamin D level ... ventilated • CXR ... , Lung US, Echo, ... of AECOPD: • Clinical ... #pulmonary