10 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
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... Venous Pressure ... with Every Beat - Cannon ... #diagnosis #cardiology ... #physicalexam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... abrupt rise in RA pressure ... to diagnose the ... case as Typical ... #PhysicalExam #JVP
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Venous Pressure ... pulmonic stenosis - Cannon ... #Waveforms #JVP ... #PhysicalExam #
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
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
nature & benign • Regular ... females Differential Diagnosis ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
Central venous pressure ... atrial pressure ... Classic “cannon ... wavescaused by ... Interpretation #Diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... VI problem) - Cannot ... large/unreactive pupil ... Nerve IV - Eye cannot ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis