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

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

Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a

Cannon A Waves in ... s the clinical sign ... 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

excludes other differentials ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign

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

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

has Kussmaul's sign ... have elevated JVP ... amzn.to/2LmUODZ #AWaves ... #Giant #PHTN #JVP ... #Neck #PhysicalExam

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 ... Algorithm Outward Wave ... Fusion of Lancisi Sign ... @saipeeps #JVP ... diagnosis #cardiology #physicalexam

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

Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before

Lancisi's Sign ( ... obscenely huge waves ... it giant A or V wave ... Fibrillation #Neck #JVP ... #Video #AFib #PhysicalExam

Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks

- Differential Diagnosis ... Typically the JVP ... or increase in JVP ... #physicalexam # ... diagnosis #cardiology #differential

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