221 results
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
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... #Tracheal #Descent ... clinical #video #physicalexam
MINOCA Workup Algorithm 
Myocardial Infarction with Nonobstructive Coronary Arteries

#MINOCA #Workup #Algorithm #diagnosis #cardiology #Nonobstructive #myocardial #injury
MINOCA Workup Algorithm ... Arteries #MINOCA #Workup ... Algorithm #diagnosis #cardiology
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
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
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
ventricular stroke work ... ventricular stroke work ... systole ● x descent ... ● y descent: ... CheatSheet #Waveforms #Cardiology