12 results
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
jugular venous pulse ... Regurgitation #Neck #JVP ... #Clinical #Video ... #PhysicalExam # ... Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... Diagnosis Algorithm ... #Differential # ... Diagnosis #Algorithm ... #causes
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... amzn.to/2LmUODZ #AWaves ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
sound and carotid pulse ... • c wave - caused ... y descent - is caused ... #Waveforms #JVP ... #PhysicalExam #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... that’s called “clinical ... #AVNRT #PhysicalExam ... #JVP #Cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
the pts carotid pulse ... Fibrillation #Neck #JVP ... #Clinical #Video ... #AFib #PhysicalExam ... #Cardiology
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
sees a venous pulse ... being the "c" wave ... Flutter #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... Workup for cause ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Clinical: Dyspnea ... Physical Exam: ↑JVP ... #differential # ... cardiology #algorithm