12 results
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave caused ... #PhysicalExam # ... Cardiology #Neck ... #Jugular #JVP
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Dyspnea - Differential ... • Stenosis • Regurgitation ... Artery Disease • Stable ... Interstitium • ILD • CHF ... #Dyspnea #SOB #Differential
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Severe Tricuspid Regurgitation ... It is caused by ... #PhysicalExam # ... Neck #Jugular #JVP ... #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
and other rarer causes ... of right-sided HF ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... Jugular #Waveforms #JVP ... #Differential # ... Diagnosis #PhysicalExam ... #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... #physicalexam # ... diagnosis #cardiology ... causes
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... Hussain Ch @Hussainch ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... • Tricuspid Regurgitation ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology ... #Differential #
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... has Kussmaul's sign ... have elevated JVP ... #Neck #PhysicalExam
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... = high-output state ... confirm high-output HF ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam