10 results
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Differential Diagnosis Algorithm ... Degenerative (Tricuspid ... Systolic #Murmurs #Cardiology ... Differential #Diagnosis #Algorithm ... #causes
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
visible in the jugular ... It is caused by ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... backwards into the jugular ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... #Waves #Jugular ... Waveforms #JVP #PhysicalExam ... #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... ), and tricuspid ... Kussmauls #Sign #PhysicalExam ... Clinical #Neck #JVP #Jugular ... Pericarditis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia Regular ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Septic Emboli Cause ... Substance use: R > L Tricuspid ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... or family - Ever ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... vasculitis: 10%-16% Liver ... (Type I) renal tubular ... phenomenon (16%) MSK ... Rheumatology #Diagnosis #Management