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

Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on ... #Lancisis #Sign ... #Neck #JVP #Clinical ... #Video #PhysicalExam ... #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Diagnosis - Absent ... Jugular #Waveforms #JVP ... #Differential # ... Diagnosis #PhysicalExam ... #cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave ... caused by tricuspid ... #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 ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology ... #CVP
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
s the clinical sign ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Lancisi's Sign - ... Severe Trisuspid ... giant V (or CV) waves ... #PhysicalExam # ... #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... infarction, massive PE, tricuspid ... #physicalexam # ... diagnosis #cardiology ... causes
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... bulging of the tricuspid ... y descent - is caused ... #Waveforms #JVP ... #PhysicalExam #cardiology