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Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
CO / High SVR, JVP ... >8, CVP > 12 ... CO / High SVR, JVP ... CO / High SVR, JVP ... Diagnosis #Types #criticalcare
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 ... #Tricuspid #Regurgitation ... Lancisis #Sign #JVP
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 Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam Note the large systolic jugular venous wave caused
Severe Tricuspid Regurgitation ... caused by tricuspid regurgitation ... sign #Tricuspid #Regurgitation ... Neck #Jugular #JVP
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 Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation Semiology of severe tricuspid insufficiency : venous pulse
Severe Tricuspid Regurgitation ... Sign #Tricuspid #Regurgitation ... #Neck #JVP #Clinical
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 Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Causes of Mitral Regurgitation ... chronic mitral regurgitation ... ), Myxomatous (MVP ... chronic mitral regurgitation ... BostonChiefs #Mitral #Regurgitation
Jugular Venous Pressure Waveform Patterns A. Tricuspid Regurgitation B. Tricuspid Stenosis C. Constrictive Pericarditis D. Atrial Septal Defect E. Atrial Fibrillation F.
Tricuspid Regurgitation ... Waveform #Patterns #JVP
Lancisi's sign on Physical Exam Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
#Video #Neck #JVP ... #Tricuspid #Regurgitation
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 Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP ... table #comparison #criticalcare
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
descent - Tricuspid regurgitation ... waves - Tricuspid regurgitation ... failure, tricuspid regurgitation ... Jugular #Waveforms #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation A 60-year-old man presented with progressive dyspnea and weight gain. A
Severe Tricuspid Regurgitation ... severe tricuspid regurgitation ... Sign #Tricuspid #Regurgitation ... Neck #Jugular #JVP
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