16 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... and other rarer causes ... #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... ), and tricuspid ... #Sign #PhysicalExam ... Video #Clinical #Neck ... Pericarditis #Cardiology
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on Neck ... Examination in Severe Tricuspid ... Regurgitation #Neck ... Clinical #Video #PhysicalExam ... #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... infarction, massive PE, tricuspid ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... because she also has Kussmaul's ... Giant #PHTN #JVP #Neck ... #PhysicalExam # ... Clinical #Video #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... the underlying cause ... #Friedreichs #Neck ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
sign in Severe Tricuspid ... jugular venous wave ... caused by tricuspid ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Neck Examination ... block, or, as this case ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
, or Giant V wave ... It is caused by ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #Cardiology
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