15 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
s the clinical sign ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... #cardiology #McConnells
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Diagnosis - Absent ... atrial myxoma, pulmonary ... Jugular #Waveforms #JVP ... Diagnosis #PhysicalExam ... #cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... Fusion of Lancisi Sign ... @saipeeps #JVP ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #physicalexam # ... diagnosis #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #POCUS #Echocardiogram ... #ultrasound #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluation of Pulmonary ... • Evaluate for signs ... shunt lesions) • Differentiate ... Echocardiography #diagnosis ... #cardiology #echocardiogram