14 results
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... ) Algorithm Outward ... @saipeeps #JVP ... Venous #Pressure #Algorithm ... diagnosis #cardiology #physicalexam
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... • y descent - ... Jugular #Waveforms #JVP ... #PhysicalExam #
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Prominent x descent ... myxoma - Rapid y descent ... defect - Absent y descent ... Jugular #Waveforms #JVP ... Differential #Diagnosis #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 ... #Video #Neck #JVP
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... paradoxical rise in JVP ... The rapid Y descent ... Kussmauls #Sign #PhysicalExam ... Clinical #Neck #JVP
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Kussmaul's (JVP ... (sharp/deep Y-descent ... Friedreichs #Neck #JVP ... #PhysicalExam #
Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @
Note her JVP waveform ... perfectly with the X descent ... #Heave #QTip #PhysicalExam
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
clearly discernible descents ... have elevated JVP ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
venous pressure (CVP ... ventricular stroke work ... ventricular stroke work ... systole ● x descent ... ● y descent:
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Physical Exam: ↑JVP ... Prominent X and Y Descents ... differential #cardiology #algorithm