16 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... TR, tricuspid regurgitation ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... #TR #Lancisis # ... Sign #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - Mitral regurgitation ... #Cardiac #cardiology ... #physicalexam # ... diagnosis
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Severe Tricuspid Regurgitation ... waves and systolic murmur ... #Neck #JVP #Clinical ... #Video #PhysicalExam ... #Cardiology
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
physical sign of TR ... Still useful for diagnosis ... #Clinical #Video ... #JVP #VolumeStatus ... #Cardiology #HJR
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
A holosystolic murmur ... #PhysicalExam # ... Clinical #Video ... Neck #Jugular #JVP ... #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... cardiomyopathy, severe TR ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
permanent AF, severe TR ... Fibrillation #Neck #JVP ... #Clinical #Video ... #AFib #PhysicalExam ... #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... Physical Exam: ↑JVP ... Rales,+S4, MR and TR ... Murmurs Imaging ... #differential #cardiology
Severe Tricuspid Regurgitation on Neck Vein Examination

Got called from the echo lab, “ your patient has
Severe Tricuspid Regurgitation ... has wide open TR ... #Neck #JVP #PhysicalExam ... #Clinical #Video ... Lancisis #Sign #Cardiology