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
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
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Cardiac Auscultation ... Handgrip - Mitral regurgitation ... VSD • Transient arterial ... #Cardiac #cardiology ... #physicalexam #
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... bulging of the tricuspid ... opening of the tricuspid ... #JVP #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
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 #
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
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
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
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
Pressures and Waveforms ... pressure (PCWP) ● Cardiac ... PCWP]/CO) ● Cardiac ... closure of the tricuspid ... #Cardiology