14 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... Right Ventricular Pressure ... RV Overload “D Sign ... #Ultrasound #echocardiogram ... #psax #diagnosis
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
abrupt rise in RA pressure ... are enough to diagnose ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #Neck #Frog #Sign
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Jugular Venous Pressure ... Fusion of Lancisi Sign ... Jugular #Venous #Pressure ... #Algorithm #diagnosis ... #cardiology #physicalexam
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... Artery Systolic Pressure ... Notching - 60/60 Sign ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... PHTN #JVP #Neck #PhysicalExam ... Clinical #Video #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... Kussmaul's sign ... #physicalexam # ... diagnosis #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
Vitums Sign - Hepatic ... Pressure Maneuver ... Jcortesizaguirr #Vitums #Sign ... Regurgitation #PhysicalExam ... #diagnosis #cardiology
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
arrest with ongoing CPR ... intervention (inotrope, pressor ... currently experiencing signs ... Classification #ABCDEs #diagnosis ... #cardiology