Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... - Tricuspid regurgitation ... Jugular #Waveforms #JVP ... #Differential #Diagnosis ... #PhysicalExam #cardiology
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
• Caused by atrial ... activation from SVT (e.g ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology ... #CVP
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Tricuspid Regurgitation ... a patient with Atrial ... #Atrial #Fibrillation ... #Neck #JVP #Clinical ... #PhysicalExam #Cardiology
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Hypothermia on EKG
 • J (Osborn) waves
 • PR, QRS, and QT prolongation
 • Various bradyarrythmias
• J (Osborn) waves ... Hypothermia #osborn #waves ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
At-least 3 distinct P-wave ... #Tachycardia #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #labeled #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
• Negative F waves ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... are enough to diagnose ... that’s called “clinical ... Hussainch #Cannon #Awaves ... #Cardiology #Neck
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Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
fever, what’s the clinical ... sign shown , what ... ’s the diagnosis ... #PhysicalExam #JVP ... #Cardiology
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