11 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - Mitral regurgitation ... #Cardiac #cardiology ... #physicalexam # ... diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... DrJayMohan #Cardiac ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
waves and systolic murmur ... v wave of the jugular ... JVP #Clinical #Video ... #PhysicalExam # ... Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
A holosystolic murmur ... #PhysicalExam # ... Clinical #Video ... #Neck #Jugular # ... JVP #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... - Differential Diagnosis ... Absent y descent - Cardiac ... #PhysicalExam # ... cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
loud holosystolic murmur ... #PhysicalExam # ... Clinical #Video ... #Neck #Jugular # ... JVP #Cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?  Here's the
loud holosystolic murmur ... #PhysicalExam # ... Clinical #Video ... #Neck #Jugular # ... JVP #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: elevated jugular ... pressure ratio 0.25), murmur ... of valvular regurgitation ... un lymphatic Diagnostic ... Consider cardiac
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... murmur • Valvular ... ↑ ESR, CRP • EKG ... Marantic: Emboli > Regurgitation ... #management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... • Rapid and regular ... Severe mitral regurgitation ... Severe aortic regurgitation ... #Palpitations #Cardiology