15 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... regular cannon a waves ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... following the wave ... that the giant A waves ... causing the A waves ... #Neck #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... rapid cannon a waves ... Hussainch #Cannon #Awaves ... #JVP #Cardiology ... #Neck #Frog #Sign
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
with “giant v” waves ... Note the giant cv wave ... with the giant v wave ... #JVP #Clinical ... #Video #PhysicalExam
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
symmetrical T-waves ... Biphasic anterior T waves ... • Hyperacute T wave ... the preceding S-wave ... ST-segment (T wave
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- hyperacute T waves ... - deWinter T waves ... stenosis - U wave ... depression or T wave ... - New tall T wave
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
replaced by T wave ... interval J Wave ... - Prolonged R wave ... /Osborne waves ... #ekg #electrocardiogram
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Lancisi's Sign - ... JVP examination ... giant V (or CV) waves ... Regurgitation #PhysicalExam ... #Jugular #JVP #
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
Lancisi's sign on ... creating a fused cv wave ... #PhysicalExam # ... Clinical #Video #Neck ... #JVP #Tricuspid
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
obscenely huge waves ... it giant A or V wave ... #Fibrillation #Neck ... #JVP #Clinical ... #Video #AFib #PhysicalExam