10 results
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 ... Waveform Patterns ... Tricuspid Regurgitation ... #Patterns #JVP ... Cardiology #diagnosis #differential
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Venous Pressure Waveforms ... - Differential ... #Waveforms #JVP ... #Differential #
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
appears as a large pulsation ... #PhysicalExam #Waveform ... #Video #Neck #JVP ... #Tricuspid #Regurgitation
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
monomorphic venous pulsation ... It is caused by ... backwards into the jugular ... #Video #Neck #Jugular ... #JVP #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... y descent - is caused ... #Waves #Jugular ... #Waveforms #JVP
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Severe Tricuspid Regurgitation ... large systolic jugular ... venous wave caused ... Cardiology #Neck #Jugular ... #JVP
Q-Tip Visualization of Venous Pressure Waveform on Neck Physical Examination

Ever been told not to bother looking
Venous Pressure Waveform ... looking for the jugular ... that the a-x-v-y waveform ... #JVP #CVP #Neck ... Venous #Pulse #Pulsations
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Low JVP ... #Hypotension #Differential ... Diagnosis #Algorithm #causes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... essentially Cardiogenic Shock ... the determined cause ... #diagnosis #differential