12 results
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... Fusion of Lancisi Sign ... with Every Beat - Cannon ... #diagnosis #cardiology ... #physicalexam
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Caused by atrial ... against a closed tricuspid ... activation from SVT (e.g ... AWaves #diagnosis #cardiology ... #CVP
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave caused ... #PhysicalExam # ... Cardiology #Neck ... #Jugular #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Lancisi’s Sign in ... It is caused by ... #PhysicalExam # ... Neck #Jugular #JVP ... #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... Causes = RV failure ... ), and tricuspid ... #PhysicalExam # ... Pericarditis #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... the y descent cannot ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... infarction, massive PE, tricuspid ... #physicalexam # ... diagnosis #cardiology ... #differential #causes
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... Maneuvers #Heart #Cardiology ... #PhysicalExam #
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Physical Exam: ↑JVP ... Echocardiography, Cardiac MRI ... #differential #cardiology ... #algorithm