21 results
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
E.g. in a cold room ... But in rare cases ... (neck is inaccessible ... #PhysicalExam # ... #estimate #Cardiology
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on Neck ... Regurgitation #Neck ... #JVP #Clinical ... #Video #PhysicalExam ... #Cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Caused by atrial ... against a closed tricuspid ... activation from SVT (e.g ... #diagnosis #cardiology ... #CVP
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... / neck vein exam ... #PhysicalExam # ... Clinical #Video ... #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... bulging of the tricuspid ... y descent - is caused ... #Waveforms #JVP ... #PhysicalExam #cardiology
Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
is shown on the neck ... diastole, when the tricuspid ... Complete #HeartBlock #PhysicalExam ... #Clinical #Video ... #JVP
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
for DDI and an atrial ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
caused by tricuspid ... to pulsatile IJ vein ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
creating a fused cv wave ... pulsation in IJ vein ... Lancisis #sign #PhysicalExam ... Waveform #Clinical #Video ... #Neck #JVP #Tricuspid
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... into the jugular vein ... Regurgitation #PhysicalExam ... #Clinical #Video ... #JVP #Cardiology