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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 ... Algorithm #diagnosis #cardiology ... #physicalexam
Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... • y descent - ... Waveforms #JVP #PhysicalExam ... #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
- Prominent x descent ... myxoma - Rapid y descent ... defect - Absent y descent ... Differential #Diagnosis #PhysicalExam ... #cardiology
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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 Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent
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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 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
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 ... PrecordialImpulse #Cardiology
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 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 ... Pericarditis #Cardiology
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