25 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
declines any chest pain ... fever, what’s the clinical ... sign shown , what ... EMdoc14 #CannonA #AWaves ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
An abrupt rise in ... excludes other differentials ... that’s called “clinical ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
There is an appearance ... has Kussmaul's sign ... Giant #PHTN #JVP #Neck ... #PhysicalExam #Clinical ... #Video #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
female with chest pain ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... before I did, you can ... #Fibrillation #Neck ... #JVP #Clinical ... #PhysicalExam #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... without chest pain ... Electrocardiogram #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Normalization Spodick's sign ... Can also be seen ... in acute MI ... electrocardiogram #cardiology ... #diagnosis #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... Equivalents / Don't Miss Signs ... early inferior MI ... electrocardiogram #cardiology ... Interpretation #differential
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... Can repeat labs ... of pregnancy, critical ... Hyperthyroidism → Signs ... Hyperthyroidism → MRI
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
mass and NO prior signs ... or clinical history ... surgeon had a clinical ... Differential diagnosis ... #clinical #Radiology