11 results
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... Outward Wave / Peak ... Fusion of Lancisi Sign ... #diagnosis #cardiology ... #physicalexam
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Regular rhythm ... complexes >120 ms ... from 50-110 beats per ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG
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 #jugular
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 ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Aortic dissection, PE ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... electrocardiogram #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Clinical #Neck #JVP #Jugular ... Pericarditis #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... physical activity - Nausea ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... infarction, massive PE ... #physicalexam # ... diagnosis #cardiology ... #differential #causes
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Framework STEMI ... STE: "Pardee's sign ... Prolonged R wave peak ... #cardiology #ecg