12 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... s the clinical sign ... shown , what’s the diagnosis ... #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Cannon A Waves ... • Caused by atrial ... against a closed tricuspid ... #AWaves #diagnosis ... #cardiology #CVP
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... pulmonic stenosis - Cannon ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... to diagnose the ... case as Typical ... #PhysicalExam #JVP ... #Cardiology #Neck
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
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave ... caused by tricuspid ... #PhysicalExam # ... Cardiology #Neck ... #Jugular #JVP
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... bulging of the tricuspid ... the y descent cannot ... #Waveforms #JVP ... #PhysicalExam #cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... ), and tricuspid ... #PhysicalExam # ... Pericarditis #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