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
JVP Examination ... get from this #JVP ... Cardiac rhythm? ... Lancisis #Sign #JVP ... Clinical #Video #Cardiology
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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 ... loud holosystolic murmur ... #PhysicalExam #Clinical ... Neck #Jugular #JVP ... #Cardiology
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Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?  Here's the
neck JVP examination ... loud holosystolic murmur ... #PhysicalExam #Clinical ... Neck #Jugular #JVP ... #Cardiology
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Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... #Heart #Cardiology ... #PhysicalExam #
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 β€’ Inspiration - Right-sided
 β€’ Valsalva -
Cardiac Auscultation ... Handgrip - Mitral regurgitation ... occlusion - Mitral regurgitation ... #Cardiac #cardiology ... #physicalexam #
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Regurgitation ... A holosystolic murmur ... #PhysicalExam #Clinical ... Neck #Jugular #JVP ... #Cardiology
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
regurgitation ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... Differential #Diagnosis #PhysicalExam ... #cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
sign in Severe Tricuspid ... Regurgitation - ... regurgitation. ... #PhysicalExam #Cardiology ... Neck #Jugular #JVP
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Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... /CVP In this ... > overestimate JVP ... Antecubital #Vein #PhysicalExam ... Video #estimate #Cardiology
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Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.
Tricuspid Regurgitation ... Tricuspid Stenosis ... Waveform #Patterns #JVP ... #Cardiology #diagnosis