Neck causes clinical awaves sign ultrasound gallbladder diagnosis - GrepMed

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Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a

AVNRT on Neck Physical ... fever, what’s the clinical ... sign shown , what ... ’s the diagnosis ... EMdoc14 #CannonA #AWaves

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 #Clinical

Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse

Lancisi's Sign on ... Neck Examination ... #Lancisis #Sign ... Regurgitation #Neck ... #JVP #Clinical

Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary

Stone-In-Neck Sign ... on Gallbladder ... lodged in the neck ... #clinical #gallbladder ... #ultrasound #abdominal

Cholecystitis on Gallbladder POCUS

The landmark for the gallbladder is the portal vein, usually seen superiorly

Cholecystitis on Gallbladder ... neck when viewed ... Thickened gallbladder ... #POCUS #clinical ... #ultrasound #Abdominal

Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/

Neck Examination ... block, or, as this case ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... #JVP #Clinical

Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins

Pemberton's Sign ... caused by a Retrosternal ... previously flat neck ... #Pembertons #Sign ... #PhysicalExam #clinical

Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously

are enough to diagnose ... the case as Typical ... that’s called “clinical ... JVP #Cardiology #Neck ... #Frog #Sign

Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually

Adenomyomatosis - May cause ... pain Porcelain gallbladder ... , high risk of gallbladder ... fever, Murphy sign ... #differential #diagnosis

Courvoisier Sign or Courvoisier-Terrier Sign

States that in a patient with painless jaundice & an enlarged gallbladder

Courvoisier Sign ... Courvoisier-Terrier Sign ... quadrant mass), the cause ... therefore presumes the cause ... CourvoisierTerrier #diagnosis

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