Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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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
β–Ί
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... pulmonic stenosis - Cannon ... Jugular #Waveforms #JVP ... #Differential #Diagnosis ... #PhysicalExam #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... that’s called β€œclinical ... #Cardiology #Neck
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Cannon A Waves
 β€’ Caused by atrial contracting against a closed tricuspid valve
 β€’ Atrioventricular dissociation
β€’ Caused by atrial ... dissociation + retrograde atrial ... activation from SVT (e.g ... #AWaves #diagnosis ... #cardiology #CVP
Multifocal Atrial Tachycardia (MAT) on EKG
 β€’ Heart rate > 100 bpm (usually 100-150 bpm)
 β€’
Multifocal Atrial ... #Tachycardia #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #labeled #clinical
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
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
Flutter on EKG ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
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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Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 β€’ Regularly-occurring atrial activity
 β€’ β‰₯ 240 atrial depolarizations (i.e. flutter waves)
EKG β€’ Regularly-occurring ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis