6121 results
Jugular Vein vs Carotid Artery - Distinguishing Neck Pulsations on Physical Exam
Jugular Vein:
 - No pulsations
Distinguishing Neck ... - Prominent descents ... - Descents not ... #physicalexam #diagnosis ... #comparison #neck
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... (sharp/deep Y-descent ... #Friedreichs #Neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... The rapid Y descent ... Video #Clinical #Neck
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
clearly discernible descents ... the underlying diagnosis ... Giant #PHTN #JVP #Neck
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 ... video #trachea #neck
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent ... Symptoms #Signs #Diagnosis
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
copious secretions, Recent ... head/neck surgery ... NAPS) by Nick Mark ... #Ventilation #diagnosis
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
loss of the x descent ... Clinical #Video #Neck
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... - Prominent x descent ... myxoma - Rapid y descent ... defect - Absent y descent ... #Differential #Diagnosis
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... Pressure #Algorithm #diagnosis