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Lancisi's sign on Physical Exam Lancisi's sign = loss of the x descent (in tricuspid regurg) creating a fused cv wave - appears as a large pulsation in IJ vein. Abhilash Koratala MD @NephroP #Lancisis #sign #PhysicalExam #Waveform #Clinical #Video #Neck #JVP #Tricuspid #Regurgitation