67 results
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... @saipeeps #JVP ... Pressure #Algorithm #diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... (video). ... the underlying diagnosis ... The rapid Y descent ... #PhysicalExam #Video
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
loss of the x descent ... Waveform #Clinical #Video ... #Neck #JVP #Tricuspid
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... demonstrated in the video ... Most likely diagnosis ... (sharp/deep Y-descent ... PhysicalExam #Clinical #Video
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... - Prominent x descent ... myxoma - Rapid y descent ... Jugular #Waveforms #JVP ... #Differential #Diagnosis
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform ... waves and two descents ... blunting of ‘x’ descent ... - ‘y’ descent ... Interpretation #Diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
clearly discernible descents ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... PhysicalExam #Clinical #Video
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... anaphylaxis, release syndrome ... #Differential #Diagnosis
Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @
Note her JVP waveform ... perfectly with the X descent ... PhysicalExam #Clinical #Video
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... Physical Exam: ↑JVP ... Prominent X and Y Descents ... Hyper-eosinophilc Syndrome ... Cardiomyopathy #Diagnosis