12 results
Valvular vs Non-Valvular Atrial Fibrillation - Classification
Valvular:
 • Presence of moderate-to-severe mitral stenosis or artificial (mechanical)
of moderate-to-severe ... mitral stenosis ... of moderate-to-severe ... #Fibrillation #AFib ... Classification #diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
waves - Tricuspid stenosis ... hypertension, pulmonic stenosis ... pericarditis, severe ... Differential #Diagnosis #PhysicalExam ... #cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
a patient with Atrial ... permanent AF, severe ... Clinical #Video #AFib ... #PhysicalExam # ... Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... Severe Tricuspid ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
control with early Afib ... • Moderate or severe ... mitral stenosis ... #Fibrillation #AFib ... diagnosis #management #cardiology
Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly
diastolic collapse — a sign ... findings of chronic severe ... rapid fall in arterial ... Corrigans #Pulse #PhysicalExam ... #Cardiology #Clinical
Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
pulsation — a sign ... findings of chronic severe ... rapid fall in arterial ... Quinckess #Pulse #PhysicalExam ... #Cardiology #Clinical
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... PE, tricuspid stenosis ... , and severe TR ... #physicalexam # ... diagnosis #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
) • Severe mitral ... regurgitation • Severe ... dizziness: Possible severe ... /Afib/WPW) • Loss ... heart disease • Severe
Severe Mitral Stenosis on Transesophageal Echocardiogram
Spontaneous contrast 'smoke' in the left atrium
AF + stasis = huge
Severe Mitral Stenosis ... smoke' in the left atrium ... "hockey stick" sign ... MedCrisis #Mitral #Stenosis ... Echocardiogram #Clinical #Cardiology