11 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... shown , what’s the diagnosis ... ... regular cannon ... #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... to diagnose the ... case as Typical ... excludes other differentials ... #PhysicalExam #JVP
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Diagnosis - Absent ... pulmonic stenosis - Cannon ... #Waveforms #JVP ... Diagnosis #PhysicalExam
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... Venous Pressure (JVP ... with Every Beat - Cannon ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... the y descent cannot ... #Waves #Jugular ... #Waveforms #JVP ... #PhysicalExam #cardiology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... NH4+ secretion Cannot ... Type1 #Distal #Diagnosis ... #Management #Nephrology ... #Causes #Differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... VI problem) - Cannot ... large/unreactive pupil ... #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... how the right pupil ... #physicalexam # ... neurology #Anisocoria
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Misalignment - Differential ... Diagnosis Algorithm ... VI problem (eye cannot ... large/unreactive pupil ... #Causes #Ophthalmology