11 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 ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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 ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... where we may see a positive ... #physicalexam # ... diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... continues into tall, positive ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
heart failure syndrome ... cardiomyopathy, massive pulmonary ... #PhysicalExam # ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... Lack of UMN/LMN signs ... electromyographic (EMG ... #Diagnosis #neurology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... with presence of pulmonary ... acute coronary syndrome ... #diagnosis #differential ... algorithm #management #cardiology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... Cerebral > Splenic, Pulmonary ... Cholesterol emboli syndrome ... ↑ ESR, CRP • EKG ... #Diagnosis #cardiology