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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
- Absent a wave - Atrial fibrillation, sinus

- Differential Diagnosis ... tachycardia - Flutter ... flutter - Prominent ... Jugular #Waveforms #JVP ... #PhysicalExam #

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

Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... #Neck #PhysicalExam

Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960.
Early

Atrial Flutter on ... revealing the flutter ... Hence 2:1 flutter ... #Neck #PhysicalExam ... #JVP #Clinical

Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously

are enough to diagnose ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign

Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse

Lancisi's Sign on ... with “giant v” waves ... #Lancisis #Sign ... Regurgitation #Neck #JVP ... Clinical #Video #PhysicalExam

Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
• With Every Beat

Venous Pressure (JVP ... Fusion of Lancisi Sign ... @saipeeps #JVP ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam

A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect

detect atrial flutter ... waves when atrial ... flutter is suspected ... clinically, based on signs ... and symptoms, but

Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for

as a physical sign ... Still useful for diagnosis ... Resource limited setting ... Hepatojugular #Reflux #PhysicalExam ... Clinical #Video #JVP

Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating

Lancisi's sign on ... Exam Lancisi's sign ... creating a fused cv wave ... #PhysicalExam # ... #Video #Neck #JVP

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