11 results
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... One Trough - 'CV ... Fusion of Lancisi Sign ... with Every Beat - Cannon ... #physicalexam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Anion gap? ... : Anion Gap (AG ... of High Anion Gap ... sedation, narcotics, CVA ... #VBG #differential
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... backwards into the jugular ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... descent is known as ... #PhysicalExam # ... #Jugular #Constrictive ... Pericarditis #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... pulmonic stenosis - Cannon ... #Waveforms #JVP ... Diagnosis #PhysicalExam ... #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... with inspiration as ... blood from vena cava ... #physicalexam # ... causes
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... which rules out CV ... because she also has ... Kussmaul's sign ... #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 ... Workup for cause ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of congestion ... auscultation, JVD ... the determined cause ... #diagnosis #differential