12 results
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... Wave / Peak • ... Fusion of Lancisi Sign ... #diagnosis #cardiology ... #physicalexam
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
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Pericarditis #Cardiology
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
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... infarction, massive PE ... #physicalexam # ... diagnosis #cardiology ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... Most likely diagnosis ... the underlying cause ... #PhysicalExam # ... Clinical #Video #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
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
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 ... #Neck #PhysicalExam ... Clinical #Video #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