9 results
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Deficiencies After Gastric ... Bypass Fat-Soluble ... • Thiamine - Nausea ... #Bypass #vitamin ... differential #diagnosis #bariatric
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
common after distal bypass ... hyperglycemia and vitamin ... Kidney Stones: • Gastric ... bypass causes increased ... Complications #gastric
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric ... Bypass Surgery ... • Persistent nausea ... #bariatric #gastroenterology ... #nutrition #Vitamin
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
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 ... Kussmauls #Sign #PhysicalExam ... #Jugular #Constrictive ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

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

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and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck ... #jugular
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... #Waves #Jugular ... #Waveforms #JVP ... #PhysicalExam #cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... backwards into the jugular ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
simultaneously at regular ... transmitted to JV ... to diagnose the case ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology