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
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Serial EKGS in pts ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #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
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... - Widespread T wave ... Normalization Spodick's sign ... #ECG #electrocardiogram ... #cardiology #diagnosis
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... #cardiology #ecg ... #ekg #electrocardiogram