4769 results
Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @
perfectly with the X descent ... PhysicalExam #Clinical #Video ... PrecordialImpulse #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... The rapid Y descent ... #PhysicalExam #Video ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
demonstrated in the video ... (sharp/deep Y-descent ... PhysicalExam #Clinical #Video ... #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
clearly discernible descents ... PhysicalExam #Clinical #Video ... #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... • y descent - ... Thus the y descent ... #PhysicalExam #cardiology
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... Video via Dr. ... #Tracheal #Descent ... Sign #clinical #video
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent ... #PhysicalExam #cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... Algorithm #diagnosis #cardiology
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 ... COPD #clinical #video
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent