16 results
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... small blue-colored spot ... #Kussmauls #Sign
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 ... ’s called Frog sign ... #PhysicalExam #JVP ... #Frog #Sign
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... , Chest Pain • ... #bradycardia #diagnosis ... differential #management #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral ... wrist XR, the capitate ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Fractures (medial/lateral ... can't make A-OK sign ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... asymmetrical, similar or bigger ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... auscultation, JVD ... ECG is vital while ... #heartfailure #chf