14 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... she declines any chest ... s the clinical sign ... EMdoc14 #CannonA #AWaves ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... ’s called Frog sign ... Hussainch #Cannon #Awaves ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... accompanied by chest ... pain • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - hyperacute T waves ... - starts below ... electrocardiogram #cardiology ... Interpretation #differential
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperdefecation • Anterior neck ... diffuse goiter (Graves ... proptosis), unblinking stare ... causes #diagnosis #differential ... endocrinology #signs
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... intrinsic rate (start ... Start pacing. ... bradycardia #diagnosis #differential
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... life-threatening Differential ... test - Cogan sign ... - Peek sign ... diagnosis #management #neurology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... symptoms may include chest ... • Start glyceryl ... consultation with cardiology
Continuous Diaphragm Sign and Pneumomediastinum on Chest XRay

16yo boy referred in by his GP with7/10 chest
Continuous Diaphragm Sign ... radiated up his neck ... He did state he ... One sign we would ... Continuous #Diaphragm #Sign