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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30 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... s the clinical sign ... shown , what’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #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 ... the underlying diagnosis ... 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
are enough to diagnose ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave ... IJ vein seen on POCUS ... and S-reversal ... Regurgitation #PhysicalExam ... #Cardiology #Neck
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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... and Management ... pseudoinfarct pattern (Q-waves ... #Stages #Management ... #Cardiology #Staging
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... dx the rhythm and ... #Fibrillation #Neck ... #Video #AFib #PhysicalExam ... #Cardiology
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Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... TR, RV infarct, and ... #physicalexam # ... clinical #video #jvp #cardiology ... #neck #jugular
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Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... onto outstretched hand ... Scaphoid #Carpal #Radiology ... #Management #Orthopedics ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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onto outstretched hand ... Colles #Distal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #MSK