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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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Venous Pressure Waveforms ... Absent y descent - Cardiac ... #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 ... Cardiac rhythm? ... #PhysicalExam # ... Clinical #Video #Cardiology
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Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - Mitral regurgitation ... occlusion - Mitral regurgitation ... #Cardiac #cardiology ... #physicalexam #
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 #
Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.
Venous Pressure Waveform ... Tricuspid Regurgitation ... Tricuspid Stenosis ... #Patterns #JVP ... #Cardiology #diagnosis
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 ... #Waveform #Clinical ... #Video #Neck #JVP ... #Tricuspid #Regurgitation
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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 ... loud holosystolic murmur ... #PhysicalExam #Clinical ... #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
Regurgitation ... A 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
Sign - Severe Trisuspid ... Regurgitation on ... loud holosystolic murmur ... #PhysicalExam #Clinical ... #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 ... Regurgitation - ... regurgitation. ... #PhysicalExam #Cardiology ... Neck #Jugular #JVP
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