20 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
s the clinical sign ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #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 ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Caused by atrial ... activation from SVT (e.g ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology ... #CVP
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Pericarditis #Cardiology
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
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... anterior wall MI ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... and other rarer causes ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave ... caused by tricuspid ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
- Widespread T wave ... Normalization Spodick's sign ... seen in acute MI ... #ECG #electrocardiogram ... #cardiology #diagnosis