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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21 results
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
predictably w/ the cardiac ... block, or, as this case ... #PhysicalExam # ... JVP #Clinical #Video ... #Cardiology
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Kussmaul's Sign on Physical Exam

Whatโ€™s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Whatโ€™s the diagnosis ... and other rarer causes ... #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
the underlying diagnosis ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... #Neck #JVP #Jugular ... Pericarditis #Cardiology
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Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the underlying cause ... #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
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Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... could pinpoint the cause ... Had diagnostic tap-fever ... Echocardiogram #clinical ... #cardiology #A3C
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... Giant #PHTN #JVP #Neck ... #PhysicalExam # ... Clinical #Video ... #Cardiology
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Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Finger deformity caused ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
in diagnosing cardiac ... for definitive management ... #clinical #ultrasound ... #trauma #cardiology ... #s4c
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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 ... thatโ€™s called โ€œclinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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