2 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
because she also has Kussmaul's ... have elevated JVP ... you see in the venous ... #PHTN #JVP #Neck ... #PhysicalExam #
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on ... pulse of 140, being ... increased venous ... Flutter #Neck #PhysicalExam ... #JVP #Clinical