11 results
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... venous wave caused ... #Lancisis #sign ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Lancisi’s Sign in ... Lancisi’s sign is ... It is caused by ... #Lancisis #Sign ... Regurgitation #PhysicalExam
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... It is caused by ... #Lancisis #Sign ... Regurgitation #PhysicalExam ... #Cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... - Differential ... Diagnosis Algorithm ... Narrow Complex ... #Causes #cardiology
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
A regular rhythm ... conduction Regular ... #Tachycardias #differential ... #diagnosis #causes ... #cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... 'CV' Fusion of Lancisi ... Sign • Not with ... #diagnosis #cardiology ... #physicalexam
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... WPW) - Narrow ... #Differential # ... #causes
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... • Atrial Flutter ... #Tachycardia #Differential ... Diagnosis #Management #cardiology ... algorithm #irregular
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... excludes other differentials ... of narrow complex ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... Tachycardia Regular ... Treat underlying cause ... Treat underlying cause ... #algorithm