PhysicalExam jvp reflex slitlamp neck elevated venous regurgitation pulse distension diagnosis phtn

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

found to have elevated ... JVP, a parasternal ... you see in the venous ... the underlying diagnosis ... #JVP #Neck #PhysicalExam

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Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,

cough, abdominal distension ... Specific Signs: elevated ... jugular venous ... abdominojugular, reflux ... murmur of valvular regurgitation

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