9 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
are enough to diagnose ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... Fusion of Lancisi Sign ... @saipeeps #JVP ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... IJ vein seen on POCUS ... #Lancisis #sign ... Regurgitation #PhysicalExam ... Neck #Jugular #JVP
Baker's Cyst on POCUS 
63yo w p/w pain and swelling behind knee.  Probe on knee
synovial lined, medial ... Sign of intraarticular ... Global Ultrasound ... #ultrasound #knee ... #clinical #msk
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Oliguria • Altered Mental ... Full Set of Vital Signs ... Setup - Ultrasound ... crackles, elevated JVP
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... ASA, Kussmaul's sign ... , marked pedal edema ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... fatigue, altered mental ... Signs of congestion ... auscultation, JVD ... importantly, bedside ultrasound