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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 ... Giant #PHTN #JVP #Neck ... #PhysicalExam #
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... ’s called Frog sign ... #AVNRT #PhysicalExam ... JVP #Cardiology #Neck ... #Frog #Sign
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... caused by tricuspid ... IJ vein seen on POCUS ... #Lancisis #sign ... #Cardiology #Neck
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperdefecation • Anterior neck ... hyperthyroidism Diagnosis ... fibrillation/flutter • Abdominal ... hyperthyroidism #causes ... endocrinology #signs
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Full Set of Vital Signs ... Setup - Ultrasound ... - Distended neck
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... Dengue with warning signs ... the following signs ... Intense abdominal ... classification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... the determined cause ... #algorithm #management
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
pressure and cranial ultrasound ... is also a late sign ... are observed for signs ... Any intra-abdominal ... Newborn #Infant #PhysicalExam
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Point of Care Ultrasound ... cardiac output causes ... precede other signs ... Tolerance #testing #diagnosis ... comparison #challenges #management