9 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - Mitral regurgitation ... #Cardiac #cardiology ... #physicalexam # ... diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... pulmonary stenosis; MVP ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
insufficiency : venous ... waves and systolic murmur ... #Neck #JVP #Clinical ... #Video #PhysicalExam ... #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
A holosystolic murmur ... palpable, monomorphic venous ... #PhysicalExam # ... Neck #Jugular #JVP ... #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular Venous ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
found to have elevated ... you see in the venous ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Specific Signs: elevated ... jugular venous ... pressure ratio 0.25), murmur ... of valvular regurgitation ... Consider cardiac
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... murmur • Valvular ... Paradoxical emboli via ASD ... Marantic: Emboli > Regurgitation ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
aortic and mitral regurgitation ... murmur • Valvular ... Paradoxical emboli via ASD ... Marantic: Emboli > Regurgitation ... #cardiology #infectiousdiseases