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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 ... Waveforms #JVP #PhysicalExam
Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... #Tracheal #Descent ... clinical #video #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
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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 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
Lancisi's sign on Physical Exam Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
loss of the x descent ... Lancisis #sign #PhysicalExam
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 Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @
perfectly with the X descent ... #Heave #QTip #PhysicalExam
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 Jugular Vein vs Carotid Artery - Distinguishing Neck Pulsations on Physical Exam Jugular Vein: - No pulsations
systole (x and y descents ... - Prominent descents ... - Descents not ... Carotid #Pulsations #physicalexam
Kussmaul's sign in Constrictive Pericarditis A 50-year-old woman with a remote history of mediastinal lymphoma (age
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.
(sharp/deep Y-descent ... Friedreichs #Neck #JVP #PhysicalExam
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