GeraldMD - GrepMed

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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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Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?

Those are giant

neck JVP examination ... Those are giant ... corresponding well to a ... #PhysicalExam #Clinical ... #JVP #Cardiology

Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? Here's the

neck JVP examination ... Those are giant ... corresponding well to a ... #PhysicalExam #Clinical ... #JVP #Cardiology

Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before

But is it giant ... A or V wave? ... #JVP #Clinical ... #Video #AFib #PhysicalExam ... #Cardiology

Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
- Absent a wave - Atrial fibrillation, sinus

waves - Tricuspid ... waves - Tricuspid ... Jugular #Waveforms #JVP ... Differential #Diagnosis #PhysicalExam ... #cardiology

Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in

A large venous ... wave, or Giant ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #Cardiology

Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused

Regurgitation - ... jugular venous wave ... #PhysicalExam #Cardiology ... #Neck #Jugular ... #JVP

Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating

fused cv wave - ... Lancisis #sign #PhysicalExam ... Clinical #Video #Neck ... #JVP #Tricuspid ... #Regurgitation

Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

Giant A waves caused ... A waves are "intermittent ... #Giant #PHTN #JVP ... #Neck #PhysicalExam ... Clinical #Video #Cardiology

Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A

Regurgitation ... Examination of the neck ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #JVP #Cardiology

Kussmaul's Sign on JVP Examination

The main finding on this video I hoped to demonstrates is #kussmauls

Kussmaul's Sign on JVP ... giant V wave in ... Tricuspid Regurgitation ... Kussmauls #Sign #PhysicalExam ... #Neck #Veins #Cardiology

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