13 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... shown , what’s the diagnosis ... in AVNRT - EMdoc ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... #JVP #Cardiology ... #Neck #Frog #Sign
Canon A waves in a patient with AV dissociation

Occurs due to the simultaneous contraction of atria
patient with AV dissociation ... in the JV. ... #waves #AV #dissociation ... clinical #video #JVP ... #jugular #neck
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Atrioventricular dissociation ... it indicates AV dissociation ... activation from SVT (e.g ... #diagnosis #cardiology ... #CVP
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Cannon A Waves on ... Neck Examination ... AV dissociation ... #Neck #PhysicalExam ... #JVP #Clinical
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Diagnosis - Absent ... Atrioventricular dissociation ... - Large cv waves ... Jugular #Waveforms #JVP ... #Differential #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP ... #comparison #criticalcare
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on Neck ... being the "c" wave ... AVNRT would show ... Atrial #Flutter #Neck ... #PhysicalExam #JVP
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... - Distended neck ... crackles, elevated JVP ... Jonesy_MA #Shock #Diagnosis