Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
she declines any chest ... fever, what’s the clinical ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
β–Ί
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... amzn.to/2LmUODZ #AWaves ... PHTN #JVP #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
β–Ί
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
that’s called β€œclinical ... Hussain Ch @Hussainch ... #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
β–Ί
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
Patient with severe pulmonary ... Hussain Ch @Hussainch ... #CephalicVein #PhysicalExam ... #Cardiology #Clinical
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Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... x-ray (left) and CHF ... diameter of the pulmonary ... #Clinical #Radiology ... #CXR #Lateral #CHF
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Patient has t-wave ... Electrocardiogram #clinical ... #cardiology
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... features on the chest ... In daily clinical ... #Diagnosis #Radiology ... #CHF #CXR #Stages