medial clinical physicalexam echocardiogram sign pediatrics jvp reflex diagnosis neck frog a4c

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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously

are enough to diagnose ... that’s called “clinical ... sign! ... Awaves #AVNRT #PhysicalExam ... #Neck #Frog #Sign

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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

100/82, HR 74, JVP ... ASA, Kussmaul's sign ... , marked pedal edema ... expiration not meeting diagnostic ... #a4c #pocus #clinical

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