36 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Handgrip - Mitral regurgitation ... occlusion - Mitral regurgitation ... #Cardiac #cardiology ... #physicalexam # ... diagnosis
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
- Differential Diagnosis ... • Pulmonary Regurgitation ... Severe Aortic Regurgitation ... #Cardiology #Differential ... #Diagnosis #Algorithm
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Severe Tricuspid Regurgitation ... waves and systolic murmur ... v wave of the jugular ... Clinical #Video #PhysicalExam ... #Cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... TR, tricuspid regurgitation ... Maneuvers #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
A holosystolic murmur ... backwards into the jugular ... #PhysicalExam # ... #Video #Neck #Jugular ... #JVP #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Severe Tricuspid Regurgitation ... large systolic jugular ... #PhysicalExam # ... Cardiology #Neck ... #Jugular #JVP
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... - Differential Diagnosis ... #Systolic #Murmurs ... #Cardiology #Differential ... #Diagnosis #Algorithm
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... - Differential Diagnosis ... #Differential #Diagnosis ... #PhysicalExam # ... cardiology
Maneuvers to Identify Systolic Murmurs 
Effect of Squatting and Valsalva:
 - Mitral Valve Prolapse 
 -
Identify Systolic Murmurs ... Maneuvers #Systolic #Murmurs ... Identification #PhysicalExam ... #Diagnosis #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Severe Tricuspid Regurgitation ... visible in the jugular ... #PhysicalExam # ... #Video #Neck #Jugular ... #Cardiology