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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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Internal Jugular ... Rouleaux Flow on POCUS ... Amazing video ... #IJ #Vein #POCUS ... #vascular #clinical
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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Internal Jugular Vein Rouleaux Flow on POCUS - Longitudinal View

Amazing video of a dilated IJV showing
Internal Jugular ... Rouleaux Flow on POCUS ... View Amazing video ... #IJ #Vein #POCUS ... #vascular #clinical
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Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis
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 ... #physicalexam #clinical ... #video #jvp #cardiology ... #neck #jugular
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Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... Causes = RV failure ... #PhysicalExam #Video ... #Clinical #Neck ... #JVP #Jugular #
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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 ... backwards into the jugular ... #PhysicalExam #Clinical ... #Video #Neck #Jugular
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Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... Here’s a similar case ... This time on pocus ... Choledocholithiasis #POCUS ... #clinical #ultrasound
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Papillary muscle rupture on POCUS Echocardiogram - A4C

Rare case! 70M recent MI with acute resp failure
muscle rupture on POCUS ... - A4C Rare case ... muscle rupture on POCUS ... Labeled Video ... Echocardiogram #A4C #clinical
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
visible in the jugular ... It is caused by ... backwards into the jugular ... #PhysicalExam #Clinical ... #Video #Neck #Jugular
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