GeraldMD - GrepMed

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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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Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before

Tricuspid Regurgitation ... the pts carotid pulse ... Fibrillation #Neck #JVP ... #Clinical #Video ... #PhysicalExam #Cardiology

Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating

tricuspid regurg) creating ... a fused cv wave ... PhysicalExam #Waveform #Clinical ... #Video #Neck #JVP ... #Tricuspid #Regurgitation

Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

by pulmonary HTN ... has Kussmaul's sign ... more prominent during ... #PhysicalExam #Clinical ... #Video #Cardiology

Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A

Severe Tricuspid Regurgitation ... tricuspid valve during ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #JVP #Cardiology

Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion?

Those are giant

Lancisi's Sign - ... giant V (or CV) waves ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #JVP #Cardiology

Lancisi's Sign - Severe Trisuspid Regurgitation on neck JVP examination.

What's the valvular lesion? Here's the

Lancisi's Sign - ... giant V (or CV) waves ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #JVP #Cardiology

Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in

Lancisi’s Sign in ... tricuspid valve during ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #Cardiology

Cheyne-Stokes Respirations

What eponymous respiratory pattern do you observe in this patient? What eponymous jugular venous pulse

carotid) and frog sign ... during inspiration ... #Respirations #breathing ... #pulmonary #clinical ... #video #pattern

Kussmaul's Sign on JVP Examination

The main finding on this video I hoped to demonstrates is #kussmauls

finding on this video ... which is a giant V wave ... in Tricuspid Regurgitation ... #Clinical #JVP ... #Neck #Veins #Cardiology

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