Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Regurgitation on JVP ... VivekKulkarniMD #Tricuspid ... #TR #Lancisis #Sign ... Clinical #Video #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... IJ vein seen on POCUS ... #Lancisis #sign ... #PhysicalExam #Cardiology ... Neck #Jugular #JVP
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Lancisi’s Sign in ... known as Lancisi’s sign ... Lancisi’s sign is ... #Lancisis #Sign ... #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... Kussmaul's sign ... as Friedreich’s sign ... #Kussmauls #Sign
Lancisi's Sign in Severe Tricuspid Regurgitation 

#Lancisis #Sign #Tricuspid #Regurgitation #clinical #cardiology #video #jvp
Lancisi's Sign in ... Severe Tricuspid ... #Lancisis #Sign ... #clinical #cardiology ... #video #jvp
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... Kussmaul's sign ... infarction, massive PE, tricuspid ... #cardiology #differential
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Lancisi's Sign - ... Severe Trisuspid ... Regurgitation on neck JVP ... #Lancisis #Sign ... #Cardiology
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... - Tricuspid Regurgitation ... Notching - 60/60 Sign ... #diagnosis #Right ... #Ventricular #cardiology
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?  Here's the
Lancisi's Sign - ... Severe Trisuspid ... Regurgitation on neck JVP ... #Lancisis #Sign ... #Cardiology
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... ” EI > 1 - POCUS ... echocardiogram #psax #diagnosis ... #cardiology #pocus