21 results
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
jugular venous pulse ... seen in the video ... JVP #Clinical #Video ... #PhysicalExam # ... Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
sound and carotid pulse ... bulging of the tricuspid ... opening of the tricuspid ... Waveforms #JVP #PhysicalExam ... #cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
• Caused by atrial ... against a closed tricuspid ... dissociation + retrograde atrial ... activation from SVT (e.g ... #diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... - Atrial flutter ... #Differential #Diagnosis ... #PhysicalExam # ... cardiology
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
circuit around the tricuspid ... through the cavo-tricuspid ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign (Tricuspid ... a patient with Atrial ... JVP #Clinical #Video ... #AFib #PhysicalExam ... #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... 3 different P wave ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on ... sees a venous pulse ... Flutter #Neck #PhysicalExam ... JVP #Clinical #Video ... #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... • Lateral (I + aVL ... Interpretation #ECG ... Electrocardiogram #cardiology ... #diagnosis #system
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads indicates atrial ... be present in all ... patients) stage 4 - ECG ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology