543 results
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Sign in Severe Tricuspid ... the incompetent tricuspid ... valve during ventricular ... Lancisis #Sign #Tricuspid ... Neck #Jugular #JVP
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
bulging of the tricuspid ... valve closing back ... opening of the tricuspid ... valve. ... Jugular #Waveforms #JVP
Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
the increase in CVP ... diastole, when the tricuspid ... valve (TV) is open ... Clinical #Video #JVP
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
CO / High SVR, JVP ... >8, CVP > 12 ... Decompensated CHF, Severe Valve ... CO / High SVR, JVP ... CO / High SVR, JVP
Jugular Venous Pressure Measurement
Examiner places the patient in a reclined position and puts the base of
Positive: JVP > ... , or sustained JVP ... likelihood of CVP ... #PhysicalExam #JVP ... #JVD #JugularVenous
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Regurgitation on JVP ... get from this #JVP ... VivekKulkarniMD #Tricuspid ... Lancisis #Sign #JVP
Bicuspid Aortic Valve on Echocardiogram
Bicuspid Aortic valves (prevalence approx 2%) degenerate more frequently and rapidly (at
Bicuspid Aortic ... Valve on Echocardiogram ... Bicuspid Aortic ... valves (prevalence ... #Aortic #Valve
ASE Echocardiographic Assessment of Valve Stenosis
 • Aortic Valve Stenosis
 • Mitral Valve Stenosis
 • Tricuspid
Assessment of Valve ... Stenosis • Aortic Valve ... Stenosis • Tricuspid ... Valve Stenosis ... • Pulmonic Valve
Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.
Tricuspid Regurgitation ... Tricuspid Stenosis ... Waveform #Patterns #JVP
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
x descent (in tricuspid ... #Video #Neck #JVP ... #Tricuspid #Regurgitation