38 results
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 ... Cardiomyopathy #Diagnosis #Causes ... differential #cardiology #algorithm
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
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
physical sign of TR ... Clinical #Video #JVP
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 ... clinical #video #jvp
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
“cannon waves” caused ... - ‘c’ wave (TV cusps ... ’ descent with TR ... pericarditis (CP), ↓ with TR ... systole). ↑ in TR
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... TR, tricuspid regurgitation ... pulmonary stenosis; MVP
Combination of diagnostic criteria used to assess the severity of tricuspid regurgitation (TR). This figure lists
regurgitation (TR ... al.60 In this algorithm ... , severe TR was
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 ... #differential #causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... Differential #Diagnosis #table
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
permanent AF, severe TR ... Fibrillation #Neck #JVP