52 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... failure with + Kussmaul ... SusanJosephMD Kussmaul's ... and other rarer causes ... clinical #video #jvp
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Regurgitation on ... JVP Examination ... get from this #JVP ... Lancisis #Sign #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 ... Causes = RV failure ... ), and tricuspid ... Clinical #Neck #JVP
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... of Mitral Regurgitation ... endocarditis, Myxomatous (MVP ... endocarditis, Myxomatous (MVP ... ), Myxomatous (MVP
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Typically the JVP ... or increase in JVP ... infarction, massive PE, tricuspid ... #differential #causes
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... /MR, mitral valve ... prolapse/mitral ... regurgitation;
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
sign in Severe Tricuspid ... Regurgitation - ... jugular venous wave caused ... by tricuspid regurgitation ... Neck #Jugular #JVP
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Degenerative (Tricuspid ... Pulmonary Stenosis Mitral ... Marfan's Disease Mitral ... Fever • Trauma Mitral ... Diagnosis #Algorithm #causes
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
Causes of Diastolic ... Mid-Diastolic: • Mitral ... Stenosis • Tricuspid ... Diastolic: • Mitral ... Stenosis • Tricuspid
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Regurgitation ... regurgitation. ... It is caused by ... #Regurgitation ... Neck #Jugular #JVP