13 results
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on Neck ... pulse with “giant ... of the jugular ... venous pulse seen ... #JVP #Clinical
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Venous Pressure ... - Atrial fibrillation ... - Atrial flutter ... Atrioventricular dissociation ... #Waveforms #JVP
Canon A waves in a patient with AV dissociation

Occurs due to the simultaneous contraction of atria
contraction of atria ... in the JV. ... #waves #AV #dissociation ... clinical #video #JVP ... #jugular #neck
Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.
Jugular Venous Pressure ... Tricuspid Stenosis ... Atrial Septal Defect ... Atrial Fibrillation ... Waveform #Patterns #JVP
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
- due to atrial ... - due to right atrial ... to subsequent atrial ... #Waves #Jugular ... #Waveforms #JVP
Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than
Jugular Venous vs ... Carotid Arterial ... movement Carotid Arterial ... outward movement #JVP ... #Venous #Arterial
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
sign in Severe Tricuspid ... large systolic jugular ... venous wave caused ... PhysicalExam #Cardiology #Neck ... #Jugular #JVP
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
• Caused by atrial ... against a closed tricuspid ... + retrograde atrial ... activation from SVT (e.g ... diagnosis #cardiology #CVP
Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
is shown on the neck ... increase in CVP ... due to atrial contraction ... diastole, when the tricuspid ... Clinical #Video #JVP
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Neck Examination ... AV dissociation ... for DDI and an atrial ... #Neck #PhysicalExam ... #JVP #Clinical