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Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
• x descent - ... • c wave - caused ... • x descent - ... is caused by the ... Waveforms #JVP #PhysicalExam
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 ... The rapid Y descent ... Kussmauls #Sign #PhysicalExam
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 Kussmaul's Sign and Friedreich's Sign on Neck Examination A middle-aged M with unknown PMH presents with dyspnea.
the underlying cause ... (sharp/deep Y-descent ... Friedreichs #Neck #JVP #PhysicalExam
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 Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... clearly discernible descents ... PHTN #JVP #Neck #PhysicalExam
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 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 ... Differential #Diagnosis #PhysicalExam
Abnormal Jugular Venous Pressure (JVP) Algorithm Outward Wave / Peak • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... diagnosis #cardiology #physicalexam
Drugs Causing Acute Pancreatitis Class Ia: The medications in which there was a rechallenge and other causes
rechallenge and other causes ... out other common causes ... Class II: Cases ... and atleast4 case ... #Pancreatitis #Causes
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 ... trachea #neck #physicalexam
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 RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
waves and two descents ... “cannon waves” caused ... - ‘c’ wave (TV cusps ... blunting of ‘x’ descent ... - ‘y’ descent
Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent
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