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Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of

sign or Tracheal Descent ... sign #Tracheal #Descent

Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in

Tracheal Descent ... #Tracheal #Descent

Jugular Waveform Components
• a wave - due to atrial contraction: It occurs just before

• x descent - ... • x descent - ... overcomes the descent ... • y descent - ... Thus the y descent

Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
- Absent a wave - Atrial fibrillation, sinus

tachycardia - Absent x descent ... - Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent

RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times

waves and two descents ... blunting of ‘x’ descent ... with TR - ‘x’ descent ... - ‘y’ descent

Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
• With Every Beat

Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent

Acute Mountain Sickness
Low partial pressure of oxygen at high altitude
• Stop ascent
• Supportive

altitude • Stop ascent ... hyperbaric chamber • Descent

Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating

loss of the x descent

Descent of the testis
#Embryology
#TesticularDescent

Descent of the testis

Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @

perfectly with the X descent

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