Pulsatile lachmans neck radiology kussmauls jvp jugular elevated hepatojugular phtn - GrepMed

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

because she also has Kussmaul's ... found to have elevated ... JVP, a parasternal ... AWaves #Giant #PHTN ... #JVP #Neck #PhysicalExam

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