7 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
she declines any chest ... shortness of breath ,fever ... s the clinical sign ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
stick taped to the chest ... Impulse #S4 #Gallop #PhysicalExam ... #Video #Signs # ... Cardiology #NEJM
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... Other: Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... accompanied by chest ... pain • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... 10% above this level ... bradycardia #diagnosis #differential ... #management #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Actively maintained fever ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... Phos), CBC with differential ... workup or TSH level ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management