15 results
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
with “giant v” waves ... Note the giant cv wave ... with the giant v wave ... of the jugular ... #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Venous Pressure ... - Prominent a waves ... #Waveforms #JVP ... #PhysicalExam #cardiology
Canon A waves in a patient with AV dissociation

Occurs due to the simultaneous contraction of atria
Canon A waves in ... travels up the venous ... #clinical #video ... #JVP #jugular # ... neck #cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... venous wave caused ... #Lancisis #sign ... #PhysicalExam #Cardiology ... #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
palpable, monomorphic venous ... pulsation, known ... PhysicalExam #Clinical #Video ... #Neck #Jugular ... #JVP #Cardiology
Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) on Physical Exam

1) Position the patient supine with bed
Hepato-Jugular Reflux ... Abdominojugular ... pulsations (baseline ... #jvp #cardiology ... #AJR
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Outward Wave / ... Fusion of Lancisi Sign ... Cannon 'A' Inward Wave ... #Jugular #Venous ... Algorithm #diagnosis #cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Regurgitation A large venous ... wave, or Giant ... V wave, is visible ... PhysicalExam #Clinical #Video ... #Cardiology
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
x descent (in tricuspid ... creating a fused cv wave ... appears as a large pulsation ... Waveform #Clinical #Video ... #Neck #JVP #Tricuspid
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... that the giant A waves ... has Kussmaul's sign ... causing the A waves ... #Cardiology