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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71 results
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... from this #JVP / neck ... VivekKulkarniMD #Tricuspid ... Lancisis #Sign #JVP #PhysicalExam ... Clinical #Video #Cardiology
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Sign in Severe Tricuspid ... Examination of the neck ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #JVP #Cardiology
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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
sign in Severe Tricuspid ... wave caused by tricuspid ... Lancisis #sign #Tricuspid ... Regurgitation #PhysicalExam ... #Cardiology #Neck
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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 ... Lancisis #sign #PhysicalExam ... Clinical #Video #Neck ... #JVP #Tricuspid
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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 ... patients with tricuspid ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #Cardiology
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Clay-Shoveler Fracture 
 - Avulsion fracture of spinous process of C6 or C7 (Stable fracture)
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flexion of the neck ... contraction of lower neck ... Fracture #Diagnosis #MSK ... #Radiology #Cervical ... SpinousProcess #MSK
Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? 

Those are giant
Sign - Severe Trisuspid ... Regurgitation on neck ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #JVP #Cardiology
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Large a waves - Tricuspid ... Large cv waves - Tricuspid ... heart failure, tricuspid ... Differential #Diagnosis #PhysicalExam ... #cardiology
Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
Severe Tricuspid ... hypertension and severe tricuspid ... as Kussmaul's #Tricuspid ... #CephalicVein #PhysicalExam ... #Cardiology #Clinical
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Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
imaging; TAPSE = tricuspid ... excursion; TRPG = tricuspid ... pulmonary ejection ms ... Decreased tricuspid ... RightVentricular #Cardiology