27 results
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
lower sternal border ... It is caused by ... PhysicalExam #Clinical #Video ... #Neck #Jugular ... #JVP #Cardiology
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Differential Diagnosis Algorithm ... lung disease or CHF ... Abnormal CXR: refer + order ... Differential #Diagnosis #Algorithm ... #causes
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
lower left sternal border ... v wave of the jugular ... pulse seen in the video ... JVP #Clinical #Video ... #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 ... of right-sided HF ... physicalexam #clinical #video ... #jvp #cardiology ... #neck #jugular
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
CHF - Left-Sided ... Differential Diagnosis Algorithm ... Constriction #CHF ... #HeartFailure #Cardiology ... #causes
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... Narrow Complex - Regular ... Differential #Diagnosis #Algorithm ... #Causes #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia Regular ... pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... #algorithm
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Differential Diagnosis Algorithm ... Syndrome • Turner ... Cystic Fibrosis, CHF ... Differential #Diagnosis #Algorithm ... endocrinology #causes
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm
Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
and Treatment Algorithm ... deficiency in order ... iron #deficiency #CHF ... diagnosis #management #algorithm ... #cardiology #treatment
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 ... PhysicalExam #Clinical #Video ... #Neck #Jugular ... #Cardiology