12 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... TR, tricuspid regurgitation ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - Mitral regurgitation ... #Murmurs #Cardiac ... #cardiology #physicalexam ... #diagnosis
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Regurgitation on ... Cardiac rhythm? ... #TR #Lancisis #Sign ... #JVP #PhysicalExam
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... IJ vein seen on POCUS ... #Tricuspid #Regurgitation ... #PhysicalExam # ... Cardiology #Neck
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
Vitums Sign - Hepatic ... Pressure Maneuver ... #Tricuspid #Regurgitation ... #PhysicalExam # ... diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Absent y descent - Cardiac ... #Differential #Diagnosis ... #PhysicalExam # ... cardiology
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... - Tricuspid Regurgitation ... #diagnosis #Right ... #Ventricular #cardiology ... #POCUS
Pulsatile internal jugular vein on POCUS and Lancisi's sign in severe Tricuspid Regurgitation

Abhilash Koratala MD @NephroP
and Lancisi's sign ... Regurgitation ... #Tricuspid #Regurgitation ... #clinical #physicalexam ... #cardiology
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
Cardiac Findings ... - Mitral or tricuspid ... - Effusion ECG ... #Sarcoidosis #Cardiology ... #Involvement #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... ↑ ESR, CRP • EKG ... Substance use: R > L Tricuspid ... Marantic: Emboli > Regurgitation ... #management #cardiology