20 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
she declines any chest ... s the clinical sign ... shown , what’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... • infection (e.g ... colitis) • bowel ischemia ... Colon #Thumbprint #Sign ... Diagnosis #radiology
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 ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - starts below ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Kussmaul's sign ... as Friedreich’s sign ... #Kussmauls #Sign ... #PhysicalExam #
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... Kussmaul's sign ... #physicalexam # ... diagnosis #cardiology