12 results
Kussmaul's Sign on Physical Exam

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

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No constriction! ... DDx includes constriction ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Causes = RV failure ... ), and tricuspid ... Video #Clinical #Neck ... #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Venous Pressure Waveforms ... , constrictive percarditis ... Abnormal #Jugular #Waveforms ... #JVP #Differential ... #PhysicalExam #cardiology
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
creating a fused cv wave ... appears as a large pulsation ... #PhysicalExam #Waveform ... Clinical #Video #Neck ... #JVP #Tricuspid
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... associated with constrictive ... infarction, massive PE, tricuspid ... #differential #causes
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... the underlying cause ... Kussmaul's (JVP ... + XRT tattoo = constrictive ... #Friedreichs #Neck
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... bulging 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 ... caused by tricuspid ... Analogous to pulsatile ... #Neck #Jugular ... #JVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... have elevated JVP ... in the venous waveform ... #Neck #PhysicalExam
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform ... ventricle (RV), tricuspid ... forward flow like tricuspid ... ” caused by RA contraction ... #Diagnosis #Cardiology