21 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
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... has Kussmaul's sign ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... #Neck #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Diagnosis - Absent ... atrial myxoma, pulmonary ... Jugular #Waveforms #JVP ... Diagnosis #PhysicalExam ... #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #Echocardiogram ... A4c #clinical #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
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
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Regurgitation - Elevated Pulmonary ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... #Ventricular #cardiology ... #POCUS
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #physicalexam # ... diagnosis #cardiology
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management Differential ... , Flash Pulmonary ... , Volume Exam (JVP ... edema), Lung Exam, POCUS ... CXR, CTA Chest, Echocardiogram