13 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
inability of the right heart ... and other rarer causes ... #Sign #physicalexam ... clinical #video #jvp ... #jugular
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
There is an extra heart ... Causes = RV failure ... ), and tricuspid ... #Sign #PhysicalExam ... #Jugular #Constrictive
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... valve during ventricular ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #JVP #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... venous wave caused ... by tricuspid regurgitation ... #PhysicalExam #Cardiology ... #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Regurgitation ... It is caused by ... valve during ventricular ... #PhysicalExam #Clinical ... #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... , severe right heart ... #Waveforms #JVP ... Differential #Diagnosis #PhysicalExam ... #cardiology
Carcinoid Heart Disease on Echocardiogram (A4C)

"Frozen" tricuspid valve with severe regurgitation. Carcinoid heart disease: Thickening, retraction
Echocardiogram (A4C ... regurgitation. ... #valve #regurgitation ... #a4c #Echocardiogram ... #clinical #cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... before the first heart ... valve. ... #Waveforms #JVP ... #PhysicalExam #cardiology
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
fall of mean #JVP ... , severe right heart ... and even SVC obstruction ... #Kussmauls #PhysicalExam ... #clinical #cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... /MR, mitral valve ... Murmurs #Maneuvers #Heart ... #Cardiology #PhysicalExam