1258 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... #Tracheal #Descent ... #respiratory #pulmonary
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 ... #physicalexam #pulmonary
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... - Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
pressures (RA, RV) ● Pulmonary ... pressure (PAp) ● Pulmonary ... – CVP]/CO) ● Pulmonary ... systole ● x descent ... ● y descent:
HIGH ALTITUDE PULMONARY EDEMA (HAPE)
 • High altitude disease that kill most people
 • Incidence: severe
HIGH ALTITUDE PULMONARY ... THERAPY 1) Rapid Descent ... hyperbaric chamber if descent ... 50 TID: Lowers pulmonary ... High #Altitude #Pulmonary
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... clearly discernible descents
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... overcomes the descent ... • y descent - ... Thus the y descent
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
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent