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

Semiology of severe tricuspid insufficiency : venous pulse
with “giant v” waves ... Note the giant cv wave ... with the giant v wave ... of the jugular ... #JVP #Clinical
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
creating a fused cv wave ... in IJ vein. ... #sign #PhysicalExam ... Clinical #Video #Neck ... #JVP #Tricuspid
Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than
Carotid Arterial ... outward movement #JVP ... #Venous #Arterial ... #Neck #Pulsations ... #Comparison #PhysicalExam
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
venous wave caused ... to pulsatile IJ vein ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Cannon A Waves ... • Caused by atrial ... • The cannon a wave ... + retrograde atrial ... 2LmUODZ #Cannon #AWaves
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Atrial fibrillation ... - Atrial flutter ... stenosis, right atrial ... Atrioventricular dissociation ... #Waveforms #JVP
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Cannon A Waves on ... AV dissociation ... for DDI and an atrial ... #Neck #PhysicalExam ... #JVP #Clinical
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
a patient with Atrial ... obscenely huge waves ... it giant A or V wave ... Regurgitation #Atrial ... #JVP #Clinical
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
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... In AVNRT, the atria ... rapid cannon a waves ... Hussainch #Cannon #Awaves ... #Neck #Frog #Sign