11 results
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
patient do we get from ... this #JVP / neck ... #TR #Lancisis #Sign ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
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
Severe Tricuspid Regurgitation on Neck Vein Examination

Got called from the echo lab, “ your patient has
Severe Tricuspid ... Got called from ... #JVP #PhysicalExam ... Video #Lancisis #Sign ... #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... sucks in" blood from ... infarction, massive PE, tricuspid ... #physicalexam # ... diagnosis #cardiology
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Plate Separating from ... halt nail growth (e.g ... poisoning • Cyanosis ... • Bacterial endocarditis ... #dermatology #Differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... <90, AMS, SOB from ... Chest Pain • ECG ... Connect ECG Leads
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... indistinguishable from ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Substance use: R > L Tricuspid ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... ↑ ESR, CRP • EKG ... substance use: R > L Tricuspid ... #Differential # ... Diagnosis #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... ECG is vital while ... #diagnosis #differential ... algorithm #management #cardiology