Published: 29 June 2021
Author(s): Bhupinder Singh, Ankita Soni, Bishav Mohan
Issue: August 2021
Section: Internal Medicine Flashcard

A 60-year-old male presented with complaints of deepening jaundice of 3-weeks duration. It was not accompanied by pyrexia, abdominal pain, or malaise. The patient gave a history of hot flushing. On examination, she had icterus, pedal edema, raised jugular venous pulse till the angle of the jaw with a prominent c-v wave and rapid y-descent suggestive of Lancisi's sign (panel A and video 1). Cardiac examination revealed grade 3/6 pan-systolic murmur at lower left sternal border increasing with inspiration.

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