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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Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid Regurgitation ... #Tricuspid #Regurgitation ... #TR #Lancisis #Sign ... #JVP #PhysicalExam ... #Clinical #Video
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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 # ... Neck #Jugular #JVP
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Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
Lancisi's sign on ... #PhysicalExam # ... Waveform #Clinical ... #Video #Neck #JVP ... #Tricuspid #Regurgitation
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Lancisi's sign (CV fusion wave from severe tricuspid regurgitation).

#Lancisis #sign #severe #tricuspid #regurgitation #JVP #Clinical #Video
Lancisi's sign ( ... CV fusion wave from ... #Lancisis #sign ... #JVP #Clinical ... #Video #Neck #PhysicalExam
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Severe Tricuspid Regurgitation ... #Tricuspid #Regurgitation ... #PhysicalExam # ... Clinical #Video ... Neck #Jugular #JVP
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Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... Care Ultrasound (POCUS ... #Clinical #POCUS ... #ultrasound #pulmonary
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Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 β€’ With Every Beat
Venous Pressure (JVP ... Trough - 'CV' Fusion ... of Lancisi Sign ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... - Tricuspid Regurgitation ... - Elevated Pulmonary ... Notching - 60/60 Sign ... #diagnosis #Right
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... absence of pleural effusion ... #SpineSign #POCUS ... #Clinical #Pleural ... #Effusion #Pulmonary
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
TR, tricuspid regurgitation ... ; PS, pulmonary ... stenosis; MVP/MR ... Heart #Cardiology #PhysicalExam ... #Diagnosis