12 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
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 ... , severe TR, RV ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Physical Exam: ↑JVP ... Rales,+S4, MR and TR ... Endomyocardial: Carcinoid Heart ... #differential #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
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
TR, tricuspid regurgitation ... 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
include restrictive cardiomyopathy ... stenosis, and severe TR ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluate severity of TR ... • Evaluate for causes ... of PH (left heart ... Echocardiography #diagnosis #cardiology ... #echocardiogram
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
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
identify at slower heart ... ’ descent with TR ... pericarditis (CP), ↓ with TR ... systole). ↑ in TR ... Interpretation #Diagnosis #Cardiology
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
fall of mean #JVP ... Constriction, restrictive cardiomyopathy ... , severe right heart ... #Kussmauls #PhysicalExam ... #clinical #cardiology