34 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... 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
large systolic jugular ... venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Examination of the neck ... It is caused by ... Regurgitation #PhysicalExam ... #Jugular #JVP # ... Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
visible in the jugular ... It is caused by ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Jugular venous distension ... chest pain - PE ... paradoxus - ECG ... collapse of RV - Treatment ... Triad #Diagnosis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Narrow-Complex Tachycardia Regular ... Treat underlying cause ... Treat underlying cause ... #management #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Video #Clinical #Neck ... #JVP #Jugular # ... Pericarditis #Cardiology
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• Narrow & regular ... Brady Management ... Regular ventricular ... summary #Diagnosis #EKG ... #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... arrythmias Diagnostics: EKG ... Nuclear SPECT ($$$), PET ... Stress #Testing #cardiology ... #management #diagnosis