14 results
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
E.g. in a cold room ... But in rare cases ... (neck is inaccessible ... Antecubital #Vein #PhysicalExam ... Video #estimate #Cardiology
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 ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave caused ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
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 ... Kussmauls #Sign #PhysicalExam ... Video #Clinical #Neck ... 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 ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... the underlying cause ... #JVP #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, peri/myocarditis ... #EKG #diagnosis ... electrocardiogram #cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... infarction, massive PE ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... Arrhythmias: • Atrial fibrillation ... ., aortic insufficiency ... regurgitation • Severe aortic ... #Palpitations #Cardiology