Knee physicalexam jsign pulmonary neck j sign kussmauls breathing copd peds descent jvp lancisis

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Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating

Lancisi's sign on ... sign = loss of ... the x descent (in ... #sign #PhysicalExam ... #JVP #Tricuspid

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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

waves caused by pulmonary ... clearly discernible descents ... because she also has Kussmaul's ... sign, causing the ... #Neck #PhysicalExam

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