10 results
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
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... What’s the diagnosis ... with + Kussmaul sign ... Kussmaul's sign ... #Kussmauls #Sign
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... caused by tricuspid ... IJ vein seen on POCUS ... #Lancisis #sign ... #Jugular #JVP
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... #physicalexam # ... diagnosis #cardiology ... causes
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - starts below ... Ischemia #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
psychosis - CHF ... proptosis), unblinking stare ... hyperthyroidism #causes ... #diagnosis #differential ... endocrinology #signs
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... = high-output state ... highest on my differential ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of poor perfusion ... Signs of congestion ... #diagnosis #differential ... #heartfailure #chf
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... organism (soap bubble sign ... Nausea & vomiting ... death if ART is started ... Brain #clinical #radiology