20 results
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 ... can be seen any ... physicalexam #clinical #video ... #jvp #cardiology ... #neck #jugular
ECMO circuit chatter - rhythmic pulsations in the drainage catheter/tubing leading to the pump
CHATTER occurs when
ECMO circuit chatter ... Untreated it can ... venous return (e.g ... may be required Nick ... chatter #clinical #video
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... or echo/angiogram ... Equivalents / Don't Miss Signs ... electrocardiogram #cardiology ... Interpretation #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... before I did, you can ... #Fibrillation #Neck ... JVP #Clinical #Video ... #PhysicalExam #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
CVP In this video ... they collapse can ... E.g. in a cold room ... in rare cases (neck ... #estimate #Cardiology
Severe Tricuspid Regurgitation on Neck Vein Examination

Got called from the echo lab, “ your patient has
Regurgitation on Neck ... called from the echo ... PhysicalExam #Clinical #Video ... #Lancisis #Sign ... #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... : Bad block? ... bradycardia #diagnosis #differential ... #management #cardiology
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Troubleshooting ... OnePager Summary ECMO ... CO2 production (e.g ... by Nick Mark MD ... problems #diagnosis #differential