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

If you went to med school before
a patient with Atrial ... Fibrillation #Neck #JVP ... #Clinical #Video ... #AFib #PhysicalExam ... #Cardiology
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Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
- due to atrial ... sound and carotid pulse ... - due to right atrial ... #Waveforms #JVP ... #PhysicalExam #cardiology
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on ... sees a venous pulse ... Flutter #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Atrial flutter ... myxoma, pulmonary ... Jugular #Waveforms #JVP ... Differential #Diagnosis #PhysicalExam ... #cardiology
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
for DDI and an atrial ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... has Kussmaul's sign ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly
diastolic collapse — a sign ... rapid fall in arterial ... #PhysicalExam # ... Video #Neck #AorticRegurgitation ... #Signs #Cardiology
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Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
pulsation — a sign ... rapid fall in arterial ... #PhysicalExam # ... Video #Fingernails ... #Cardiology #Clinical
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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 ... Regurgitation #PhysicalExam ... #Clinical #Video ... #Cardiology
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