543 results
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Sign in Severe Tricuspid ... the incompetent tricuspid ... valve during ventricular ... Lancisis #Sign #Tricuspid ... Neck #Jugular #JVP
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
bulging of the tricuspid ... valve closing back ... opening of the tricuspid ... valve. ... Jugular #Waveforms #JVP
Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
the increase in CVP ... diastole, when the tricuspid ... valve (TV) is open ... Clinical #Video #JVP
Jugular Venous Pressure Measurement
Examiner places the patient in a reclined position and puts the base of
Positive: JVP > ... , or sustained JVP ... likelihood of CVP ... #PhysicalExam #JVP ... #JVD #JugularVenous
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
CO / High SVR, JVP ... >8, CVP > 12 ... Decompensated CHF, Severe Valve ... CO / High SVR, JVP ... CO / High SVR, JVP
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Regurgitation on JVP ... get from this #JVP ... VivekKulkarniMD #Tricuspid ... Lancisis #Sign #JVP
Bicuspid Aortic Valve on Echocardiogram
Bicuspid Aortic valves (prevalence approx 2%) degenerate more frequently and rapidly (at
Bicuspid Aortic ... Valve on Echocardiogram ... Bicuspid Aortic ... valves (prevalence ... #Aortic #Valve
ASE Echocardiographic Assessment of Valve Stenosis
 • Aortic Valve Stenosis
 • Mitral Valve Stenosis
 • Tricuspid
Assessment of Valve ... Stenosis • Aortic Valve ... Stenosis • Tricuspid ... Valve Stenosis ... • Pulmonic Valve
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
x descent (in tricuspid ... #Video #Neck #JVP ... #Tricuspid #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 ... Tricuspid Stenosis ... Waveform #Patterns #JVP