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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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 #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
It is caused by ... tricuspid valve during ... #PhysicalExam # ... 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
Lancisi's sign in ... jugular venous wave caused ... #PhysicalExam # ... Cardiology #Neck ... #Jugular #JVP
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Müller's sign is the pulsation or bobbing of the uvula that occurs during systole.  It
uvula that occurs during ... caused by an increased ... insufficiency #regurgitation ... clinical #video #PhysicalExam ... #Cardiology
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Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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increased blood volume during ... and other rarer causes ... #physicalexam # ... clinical #video #jvp ... #cardiology #neck
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Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... Causes = RV failure ... #PhysicalExam # ... Clinical #Neck #JVP ... Pericarditis #Cardiology
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... to diagnose the case ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
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Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... #physicalexam # ... diagnosis #cardiology ... causes
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... It is caused by ... tricuspid valve during ... #PhysicalExam # ... Neck #Jugular #Cardiology
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Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... of Mitral Regurgitation ... #differential # ... diagnosis #cardiology ... #causes #primary