3861 results
Differentiating A-Wave vs V-Wave on JVP Examination

Identifying waves in JVP without timing with carotid. A wave
vs V-Wave on JVP ... A wave is quick ... flickering” whereas V wave ... is “surging” wave ... #clinical #video
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 ... pulse seen in the video ... JVP #Clinical #Video
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
changes in the T wave ... causes peaked T waves ... to 7.0 mEq/L, P waves ... merges with T wave ... #Progression #Table
T Waves: Benign Early Repolarization vs Hyperacute T Waves vs Peaked T Waves 

BER = Notching
T Waves: Benign ... vs Hyperacute T Waves ... vs Peaked T Waves ... Hyperacute T Wave ... broad Peaked T Wave
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
with prominent R wave ... mV in women T wave ... inversions): • T wave ... may be seen (T waves ... gender Pathologic Q waves
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
being the "c" wave ... accentuated the "a" wave ... constant cannon a wave ... we see flutter waves ... JVP #Clinical #Video
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 ... PhysicalExam #Clinical #Video
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Down, Contour) P Waves ... • Inverted P Waves ... • Variable P-Wave ... rhythm • No P Waves ... leads) • R wave
Osborn wave (J wave) in Hypothermia - Positive deflection at the J point

Height of the J
Osborn wave (J wave ... Height of the J wave ... #EKG #Osborn #JWave
R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
R Wave Progression ... size of the R-wave ... decrease in the S wave ... MedStudent #EKG #RWave