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Jugular Waveform Components
• a wave - due to atrial contraction: It occurs just before

• x descent - ... • x descent - ... • y descent - ... Thus the y descent ... Waveforms #JVP #PhysicalExam

Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
- Absent a wave - Atrial fibrillation, sinus

- Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent ... Differential #Diagnosis #PhysicalExam

Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
• With Every Beat

Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... 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 ... 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

Reduction of Posterior Elbow Dislocation

#Elbow #Dislocation #Reduction #Posterior #clinical #video #msk #sports #orthopedics #physicalexam

clinical #video #msk #sports ... #orthopedics #physicalexam

Hip Reduction after Dislocation

#Hip #Reduction #Dislocation #clinical #video #physicalexam #sports #orthopedics #msk

clinical #video #physicalexam ... #sports #orthopedics

Severe Anterior Shoulder Dislocation

#Anterior #Shoulder #Dislocation #clinical #video #orthopedics #physicalexam #msk #sports

#orthopedics #physicalexam ... #msk #sports

Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,

#Diagnosis #Sports ... #Knee #PhysicalExam

Normal (Negative) Lachman Test for ACL Injury

Andrew Dold, MD @dr.dold.md

#Lachmans #test #ACL #Knee #Injury #Normal #Negative

clinical #video #PhysicalExam ... #Sports #Ortho

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