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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Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
wave - due to atrial ... tricuspid valve ... atrium overcomes ... tricuspid valve. ... Waveforms #JVP #PhysicalExam
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
diastolic (during atrial ... cava; LA = left atrium ... valve peak systolic ... tricuspic valve ... #Echocardiogram
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Flutter Typical atrial ... tricuspid valve ... cavo-tricuspid ... Atypical atrial ... left atrium or
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Sign in Severe Tricuspid ... neck revealed a ... valve during ventricular ... Regurgitation #PhysicalExam ... Clinical #Video #Neck
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Tricuspid regurgitation on Color Doppler POCUS Echocardiogram

Tricuspid regurgitation.  High-pitched, holosystolic murmur best heard by lower
Tricuspid regurgitation ... Doppler POCUS Echocardiogram ... /dilatation of the ... valve Dr. ... regurgitation #POCUS #Echocardiogram
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Atrial Flutter on Jugular Neck Examination

What does the neck / JVP exam suggest about the patient’s
Atrial Flutter on ... What does the ... neck / JVP exam ... suggest about the ... #PhysicalExam #
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Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
neck exam? ... in CVP due to atrial ... tricuspid valve ... When the atrium ... Complete #HeartBlock #PhysicalExam
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Sign in Severe Tricuspid ... is visible in the ... valve during ventricular ... Regurgitation #PhysicalExam ... Clinical #Video #Neck
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Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign (Tricuspid ... a patient with Atrial ... Regurgitation #Atrial ... #Fibrillation #Neck ... #Video #AFib #PhysicalExam
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Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
• Caused by atrial ... against a closed tricuspid ... valve • Atrioventricular ... dissociation • The ... dissociation + retrograde atrial