13 results
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... IJ vein seen on POCUS ... #Lancisis #sign ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Pulsatile internal jugular vein on POCUS and Lancisi's sign in severe Tricuspid Regurgitation

Abhilash Koratala MD @NephroP
jugular vein on POCUS ... and Lancisi's sign ... #Lancisi #sign ... Regurgitation #clinical #physicalexam ... #cardiology
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... Regurgitation #TR #Lancisis ... #Sign #JVP #PhysicalExam ... Clinical #Video #Cardiology
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... No constriction! ... DDx includes constriction ... #physicalexam # ... clinical #video #jvp #cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
'CV' Fusion of Lancisi ... Sign • Not with ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive ... the underlying diagnosis ... restrictive CM, constrictive ... #PhysicalExam # ... Pericarditis #Cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... associated with constrictive ... patients after cardiac ... #PhysicalExam # ... #Neck #Veins #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Absent y descent - Cardiac ... #Differential #Diagnosis ... #PhysicalExam # ... cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... associated with constrictive ... #physicalexam # ... diagnosis #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus ... #clinical #cardiology