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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Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... But in rare cases ... 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 ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... Pericarditis #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 ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave caused ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
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Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Many underlying causes ... not limited to: MVP ... Echocardiogram #Ultrasound #Clinical ... #Cardiology #MitralValve
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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 ... #PhysicalExam # ... Clinical #Video ... #Cardiology
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Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
fever, what’s the clinical ... shown , what’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #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 ... the case as Typical ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
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Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes