Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
regurgitation ... - Tricuspid regurgitation ... Jugular #Waveforms #JVP ... Differential #Diagnosis #PhysicalExam ... #cardiology
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Regurgitation on ... #Regurgitation ... #PhysicalExam # ... Clinical #Video #Cardiology
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Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... infarction, massive PE, tricuspid ... #Sign #physicalexam ... #diagnosis #cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Regurgitation - ... jugular venous wave ... regurgitation. ... #PhysicalExam #Cardiology ... Neck #Jugular #JVP
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Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Kussmaul's sign ... this case), and tricuspid ... #Sign #PhysicalExam ... Pericarditis #Cardiology
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Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Sign - Severe Trisuspid ... Regurgitation on ... giant V (or CV) waves ... #PhysicalExam #Clinical ... #Cardiology
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Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?  Here's the
Sign - Severe Trisuspid ... Regurgitation on ... giant V (or CV) waves ... #PhysicalExam #Clinical ... #Cardiology
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Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
Severe Tricuspid ... pathology such as Kussmaul's ... #Tricuspid #Regurgitation ... #CephalicVein #PhysicalExam ... #Cardiology #Clinical
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Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
x descent (in tricuspid ... creating a fused cv wave ... Lancisis #sign #PhysicalExam ... #Video #Neck #JVP ... #Tricuspid #Regurgitation
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
because she also has Kussmaul's ... have elevated JVP ... amzn.to/2LmUODZ #AWaves ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
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