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Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination. What's the valvular lesion? Those are giant V (or CV) waves, corresponding well to a loud holosystolic murmur over the TV. Dr. Zaven Sargsyan @ https://twitter.com/sargsyanz #Lancisis #Sign #Tricuspid #Regurgitation #PhysicalExam #Clinical #Video #Neck #Jugular #JVP #Cardiology