Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Pericardial Effusion on EKG
 โ€ข Electrical alternans
 โ€ข Low voltage
 โ€ข Sinus tachycardia (suggests possibility of
Pericardial Effusion ... EricsMedicalLectures/ #Pericardial ... #Effusion #EKG ... #cardiology #diagnosis ... #clinical
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
E.g. in a cold room ... in rare cases (neck ... Antecubital #Vein #PhysicalExam ... #Clinical #Video ... #estimate #Cardiology
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Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... extra sound is a pericardial ... #Video #Clinical ... #Neck #JVP #Jugular ... Pericarditis #Cardiology
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Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Waves in AVNRT on Neck ... fever, whatโ€™s the clinical ... shown , whatโ€™s the diagnosis ... #PhysicalExam # ... JVP #Cardiology
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... thatโ€™s called โ€œclinical ... #JVP #Cardiology ... #Neck #Frog #Sign
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Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C #Clinical ... #Cardiology #Swinging
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Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Hemopericardium on POCUS ... Diagnosis? ... Echocardiogram #S4C #clinical ... #cardiology #ultrasound ... #Pericardial #Effusion
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Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV fusion ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
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Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... #malignant #clinical ... #cardiology #pocus
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