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
Cannon A Waves in ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
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Cannon A Waves
 β€’ Caused by atrial contracting against a closed tricuspid valve
 β€’ Atrioventricular dissociation
Cannon A Waves ... β€’ Caused by atrial ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology ... #CVP
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Jugular #Waveforms #JVP ... #Differential #Diagnosis ... #PhysicalExam # ... cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 β€’ With Every Beat
Venous Pressure (JVP ... Algorithm Outward Wave ... @saipeeps #JVP ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Jugular Waveform Components 
 β€’ a wave - due to atrial contraction: It occurs just before
Components β€’ a wave ... β€’ c wave - caused ... y descent - is caused ... #Waveforms #JVP ... #PhysicalExam #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Pericarditis #Cardiology
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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave ... caused by tricuspid ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
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