The combination of amlodipine and and ACE inhibitor is associated with lower risk of peripheral oedema compared to amlodipine monotherapy.

McConnell's Sign

One of the most distict echo findings in patients é acute PE

Normal jugular vein waves 👆👆

Abnormal jugular vein waves 👇👇

Giant a wave (large a wave)

associated é Tricuspid stenosis , right atrial myxoma , PH or pulmonary stenosis

Canon A waves

Associated with complete heart block.
Notice the relatively slow HR.

Lancisi’s sign (cv fusion)

associated é Severe Tricuspid regurgitation

Note Venous vs Arterial pulses

Kussmaul's Sign

- paradoxical increase in CVP during inspiration due to inadequate filling (or emptying) of the RV

DDx:
- Constrictive Pericarditis
- Restrictive Cardiomyopathy
- RV Failure (Right-sided MI / PE / severe Pulmonary HTN)
- Acute Pericardial Effusion
- Local tumor
- TS

Abnormalities of the jolugular venous waveforms & related diseases

#pocus #v_scan #Echo

Lung

Beta-blockers should not be prescribed concurrently with non-DHP CCBs (ie, diltiazem, verapamil), since both classes have negative inotropic and chronotropic effects

(risk of complete heart block).

1.ivc
2.portal vein
3.splenic vein
4.Aorta
5.rt renal artery
6.caliac trunk
7.hepatic artery
8.splenic artery
9.vertebral shadow
10.left liver lobe

6..7..8..Name of sign- seagull sign.
علامة (طائر النورس البحري)

Celiac disease is more common in people with type 1 diabetes because both are autoimmune conditions.

The celiac seagull .. seagull sign

another celiac seagull captured during physical examination.
(celiac artery bifurcation)

علامة طائر النورس البحري

Bunny head sign: dilated inferior vena cava and hepatic veins visualized in transverse subxiphoid view.

علامة راس الأرنب .