11 results
Cardiac Murmurs and Maneuvers

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

Semiology of severe tricuspid insufficiency : venous pulse
waves and systolic murmur ... v wave of the jugular ... Regurgitation #Neck #JVP ... Clinical #Video #PhysicalExam ... #Cardiology
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 ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Absent y descent - Cardiac ... #Waveforms #JVP ... #PhysicalExam # ... cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Sign - Severe Trisuspid ... loud holosystolic murmur ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?  Here's the
Sign - Severe Trisuspid ... loud holosystolic murmur ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... this case), and tricuspid ... Kussmauls #Sign #PhysicalExam ... #Jugular #Constrictive ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck ... #jugular
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... murmur • Valvular ... nodes • Roth’s spots ... Substance use: R > L Tricuspid ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: elevated jugular ... abdominojugular, reflux ... pressure ratio 0.25), murmur ... Consider cardiac ... #management #cardiology