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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
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 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 ... #Clinical #Neck ... Pericarditis #Cardiology
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 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
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 Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
clearly discernible descents ... #PhysicalExam #Clinical ... #Video #Cardiology
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 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 #physicalexam
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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 ... #COPD #clinical ... #video #trachea
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 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
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
Lancisi's sign on Physical Exam Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
loss of the x descent ... PhysicalExam #Waveform #Clinical ... #Video #Neck #JVP
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