14 results
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... Regurgitation #PhysicalExam ... #Clinical #Video ... #Neck #Jugular ... #JVP #Cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... 'CV' Fusion of Lancisi ... with Every Beat - Cannon ... #diagnosis #cardiology ... #physicalexam
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Neck Examination ... block, or, as this case ... CannonA #AWaves #Neck ... #PhysicalExam # ... JVP #Clinical #Video
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
(video). ... the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Neck #JVP #Jugular
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... the underlying cause ... #JVP #PhysicalExam ... #Clinical #Video
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... and other rarer causes ... #clinical #video ... #jvp #cardiology ... #neck #jugular
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... Diagnosis of Macroscopic ... RBC’s, RBC/WBC casts ... terminal (bladder neck ... #EM #IM #Urology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... and Causes Clinical ... Physical Exam: ↑JVP ... #Causes #differential ... #cardiology #algorithm
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video