12 results
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
Lancisi's sign on ... x descent (in tricuspid ... appears as a large pulsation ... #Video #Neck #JVP ... #Tricuspid #Regurgitation
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... Analogous to pulsatile ... #Lancisis #sign ... #Tricuspid #Regurgitation ... Neck #Jugular #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Regurgitation ... monomorphic venous pulsation ... regurgitation. ... #Tricuspid #Regurgitation ... Neck #Jugular #JVP
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Regurgitation on ... Underlying structural heart ... #Regurgitation ... #TR #Lancisis #Sign
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... myxoma, pulmonary hypertension ... , severe right heart ... Jugular #Waveforms #JVP ... #Differential #Diagnosis
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... • Rheumatic Heart ... • Pulmonary Hypertension ... Tricuspid Regurgitation ... #Differential #Diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... prolapse/mitral regurgitation ... Murmurs #Maneuvers #Heart ... #PhysicalExam #Diagnosis
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential Diagnosis ... PP and systolic hypertension ... Differential Diagnoses ... ) • Tricuspid ... #Differential #Diagnosis
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
disease, left heart ... artery pressure via tricuspid ... PPHTN • Peak tricuspid ... regurgitation velocity ... - Right heart catheterization
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... out Left-Sided Heart ... Stenosis • Tricuspid ... Regurgitation ... Pulmonary Arterial Hypertension