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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anesthesia anesthesiology checklist intraoperative clinical jvp kussmauls sign awaves jugular anaesthetic anaphylaxis aorticregurgitation arrest cannona cico constrictive cooling crisis differential
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 What’s the diagnosis? Severe biventeicular failure with + Kussmaul sign! NICM. No constriction! -
What’s the diagnosis ... and other rarer causes ... #clinical #video ... #jvp #cardiology ... #neck #jugular
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... • Diagnostic ... Plan definitive management ... #Management #Workup
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 ... #Neck #JVP #Jugular ... Pericarditis #Cardiology
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 Kussmaul's Sign and Friedreich's Sign on Neck Examination A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... the underlying cause ... #JVP #PhysicalExam ... #Cardiology
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 Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... as a possible cause ... arrest, start CPR ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... trolley and then cardiac ... Prepare for Front of Neck ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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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 Quincke's Pulse in a patient with a normal echocardiogram (non-valvular) A 70 y/o man presents with new
is identified (video ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
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