28 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
s the clinical sign ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
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 ... the case as Typical ... #AVNRT #PhysicalExam ... #JVP #Cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... ) Algorithm Outward ... Fusion of Lancisi Sign ... #diagnosis #cardiology ... #physicalexam
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Caused by atrial ... activation from SVT (e.g ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology ... #CVP
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... anterior wall MI ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... and other rarer causes ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave ... caused by tricuspid ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... Tachycardia - Telemetry Diagnosis ... Initial r or q wave ... #Vereckie #Algorithm ... #cardiology #ekg