11 results
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Underlying structural heart ... Regurgitation #TR ... #Lancisis #Sign ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... permanent AF, severe TR ... Fibrillation #Neck #JVP ... #Video #AFib #PhysicalExam ... #Cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... 'CV' Fusion of Lancisi ... Sign • Not with ... #diagnosis #cardiology ... #physicalexam
Kussmaul's Sign on Physical Exam

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

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inability of the right heart ... constriction, restrictive cardiomyopathy ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Restrictive Cardiomyopathy ... Physical Exam: ↑JVP ... Endomyocardial: Carcinoid Heart ... #differential #cardiology ... #algorithm
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... pulmonary stenosis; MVP ... hypertrophic obstructive cardiomyopathy ... Murmurs #Maneuvers #Heart ... #Cardiology #PhysicalExam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... include restrictive cardiomyopathy ... stenosis, and severe TR ... #physicalexam # ... diagnosis #cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
hospitalized for heart ... with restrictive cardiomyopathy ... #PhysicalExam # ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Severe Tricuspid Regurgitation on Neck Vein Examination

Got called from the echo lab, “ your patient has
has wide open TR ... Regurgitation #Neck #JVP ... #PhysicalExam # ... Clinical #Video #Lancisis ... #Sign #Cardiology
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... fall of mean #JVP ... , severe right heart ... #Kussmauls #PhysicalExam ... #clinical #cardiology