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Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation Semiology of severe tricuspid insufficiency : venous pulse with “giant v” waves and systolic murmur in the lower left sternal border. Note the giant cv wave that correlates with the giant v wave of the jugular venous pulse seen in the video. #Lancisis #Sign #Tricuspid #Regurgitation #Neck #JVP #Clinical #Video #PhysicalExam #Cardiology