Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam Note the large systolic jugular venous wave caused by tricuspid regurgitation. Analogous to pulsatile IJ vein seen on POCUS and S-reversal on hepatic VExUS. Note variability in timing between sinus rhythm (initial 3 beats) & AF! #Lancisis #sign #Tricuspid #Regurgitation #PhysicalExam #Cardiology #Neck #Jugular #JVP
