11 results
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... #Waves #Jugular ... Waveforms #JVP #PhysicalExam ... #cardiology
Kussmaul's Sign on Physical Exam

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

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and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
visible in the jugular ... It is caused by ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... backwards into the jugular ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... pericarditis (this case ... Kussmauls #Sign #PhysicalExam ... Clinical #Neck #JVP #Jugular ... Pericarditis #Cardiology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
nature & benign • Regular ... dissociation • Other causes ... trauma/orbital tumor ... #Adies #Pupil #PhysicalExam
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
• Pott's puffy tumor ... Zygomatic arch fractures ... • Nasoethmoid fractures ... Bilateral internal jugular ... Differential #Diagnosis #PhysicalExam
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Mechanical: • Larynx fracture ... Tracheal mass/tumor ... differential #diagnosis #causes ... pulmonary #airway #physicalexam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
simultaneously at regular ... This tracing plus regular ... to diagnose the case ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology