12 results
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... Underlying structural heart ... Regurgitation #TR ... #Lancisis #Sign ... #JVP #PhysicalExam
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
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Physical Exam: ↑JVP ... Rales,+S4, MR and TR ... Endomyocardial: Carcinoid Heart ... Diagnosis #Causes #differential ... #cardiology #algorithm
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... Murmurs #Maneuvers #Heart ... #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 ... cardiomyopathy, severe TR ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
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
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluate severity of TR ... causes of PH (left heart ... shunt lesions) • Differentiate ... Echocardiography #diagnosis #cardiology ... #echocardiogram
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 ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
, severe right heart ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... Diagnosis #PhysicalExam ... #cardiology
Kussmaul's Sign on JVP Examination

The main finding on this video I hoped to demonstrates is #kussmauls
Kussmaul's Sign on JVP ... it and invoke Lancisi ... suspicious for frank TR ... Kussmauls #Sign #PhysicalExam ... #Neck #Veins #Cardiology