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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14 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... fever, what’s the clinical ... sign shown , what ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
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Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Neck Examination ... predictably w/ the cardiac ... #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)
has Kussmaul's sign ... Giant #PHTN #JVP #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
EKG of the same ... that’s called “clinical ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... Management Clinical ... despite hx HTN) EKG ... pseudoinfarct pattern (Q-waves ... #Symptoms #Cardiology
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
from this #JVP / neck ... Cardiac rhythm? ... #TR #Lancisis #Sign ... #Clinical #Video ... #Cardiology
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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck
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Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... #Fibrillation #Neck ... #JVP #Clinical ... #Video #AFib #PhysicalExam ... #Cardiology
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... Regurgitation #PhysicalExam ... #Clinical #Video ... #Neck #Jugular ... #Cardiology
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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 ... #JVP #Cardiology
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