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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Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... #Lancisis #Sign ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #Cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... sign. ... #Fibrillation #Neck ... #JVP #Clinical ... #PhysicalExam #Cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Lancisi's Sign - ... Regurgitation on neck ... giant V (or CV) waves ... #PhysicalExam #Clinical ... #JVP #Cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?  Here's the
Lancisi's Sign - ... Regurgitation on neck ... giant V (or CV) waves ... #PhysicalExam #Clinical ... #JVP #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... , Aortic dissection ... Equivalents / Don't Miss Signs ... electrocardiogram #cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... has Kussmaul's sign ... Giant #PHTN #JVP #Neck ... #PhysicalExam #Clinical ... #Video #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... that’s called “clinical ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... from LMCA into aortic ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
Kussmaul's Sign on JVP Examination

The main finding on this video I hoped to demonstrates is #kussmauls
it and invoke Lancisi ... a giant V wave ... PhysicalExam #Video #Clinical ... #JVP #Neck #Veins ... #Cardiology