Pivot physicalexam cardiology differential jvp sign pulse quinckes jugular fingernails cannon frog

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Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new

Quincke's Pulse ... , and elevated JVP ... #Quinkes #Pulse ... #Fingernails #Nailbed ... #Cardiology

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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously

excludes other differentials ... sign! ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign

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