645 results
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
Abnormal pulsation in the neck in the setting of Aortic Coarctation

10 yo male,  his father
pulsation in the neck ... pulsation in the neck ... Echocardiogram shows ... mariovar55 #Neck ... Clinical #Video #Cardiology
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
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
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 ... (sharp/deep Y-descent ... #Friedreichs #Neck ... Clinical #Video #Cardiology
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
copious secretions, Recent ... head/neck surgery ... NAPS) by Nick Mark
Atrial Flutter on Jugular Neck Examination

What does the neck / JVP exam suggest about the patient’s
Flutter on Jugular Neck ... What does the neck ... #Jugular #JVP #Neck ... PhysicalExam #clinical #cardiology
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 ... Interpretation #Diagnosis #Cardiology