Pulsatile lachmans neck radiology jvp aortic awaves tricuspid atrial - GrepMed

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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
- Absent a wave - Atrial fibrillation, sinus

- Atrial fibrillation ... - Atrial flutter ... - Tricuspid stenosis ... Jugular #Waveforms #JVP ... #PhysicalExam #cardiology

Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness

is shown on the neck ... increase in CVP ... diastole, when the tricuspid ... UCSFIMChiefs #CannonA #AWaves ... Clinical #Video #JVP

Cannon A Waves
• Caused by atrial contracting against a closed tricuspid valve
• Atrioventricular dissociation

• Caused by atrial ... against a closed tricuspid ... dissociation + retrograde atrial ... #diagnosis #cardiology ... #CVP

Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse

Lancisi's Sign on Neck ... Examination in Severe Tricuspid ... Regurgitation #Neck ... #JVP #Clinical ... #PhysicalExam #Cardiology

Jugular Waveform Components
• a wave - due to atrial contraction: It occurs just before

- due to atrial ... bulging of the tricuspid ... opening of the tricuspid ... #Waveforms #JVP ... #PhysicalExam #cardiology

Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused

jugular venous wave ... Analogous to pulsatile ... #PhysicalExam #Cardiology ... #Neck #Jugular ... #JVP

Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating

x descent (in tricuspid ... creating a fused cv wave ... appears as a large pulsation ... Clinical #Video #Neck ... #JVP #Tricuspid

Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/

Neck Examination ... for DDI and an atrial ... VivekKulkarniMD #CannonA #AWaves ... #JVP #Clinical ... #Video #Cardiology

Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before

Lancisi's Sign (Tricuspid ... a patient with Atrial ... #Fibrillation #Neck ... #JVP #Clinical ... #PhysicalExam #Cardiology

Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A

Examination of the neck ... monomorphic venous pulsation ... Clinical #Video #Neck ... #Jugular #JVP # ... Cardiology

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