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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 ... #Clinical #Video ... 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
evaluate her JVP (video ... The rapid Y descent ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... Pericarditis #Cardiology
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 Kussmaul's Sign and Friedreich's Sign on Neck Examination A middle-aged M with unknown PMH presents with dyspnea.
demonstrated in the video ... (sharp/deep Y-descent ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
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 Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
clearly discernible descents ... PHTN #JVP #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
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 Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... Video via Dr. ... #Tracheal #Descent ... Sign #clinical #video ... #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 ... Algorithm #diagnosis #cardiology ... #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 ... COPD #clinical #video ... trachea #neck #physicalexam
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 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
Jugular Venous Distension on PhysicalExam #JVP #Distension #Elevated #PhysicalExam #Clinical #Cardiology #Neck #Video #Jugular
Distension on PhysicalExam ... Distension #Elevated #PhysicalExam ... #Clinical #Cardiology ... #Neck #Video #Jugular
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