14 results
Severe Tricuspid Regurgitation on JVP Examination

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

If you went to med school before
Tricuspid Regurgitation ... permanent AF, severe TR ... Fibrillation #Neck #JVP ... #Video #AFib #PhysicalExam ... #Cardiology
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
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Lancisi’s Sign in ... It is caused by ... #PhysicalExam # ... Neck #Jugular #JVP ... #Cardiology
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
physical sign of TR ... Hepatojugular #Reflux #PhysicalExam ... Clinical #Video #JVP ... #VolumeStatus #Cardiology ... #HJR #AJR
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform ... venous pressure (CVP ... ’ descent with TR ... ), ↓ with TR (jet ... systole). ↑ in TR
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
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... bulging of the tricuspid ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... stenosis, and severe TR ... #diagnosis #cardiology ... #differential #causes
Kussmaul's Sign on Physical Exam

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

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cardiomyopathy, severe TR ... and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck