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 checklist intraoperative clinical neck sign video cardiac jugular anaesthetic anaphylaxis aorticregurgitation arrest awaves block bloodloss bradycardia central constrictive cooling
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 ... #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
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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 ... #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Kussmaul's sign in Constrictive Pericarditis A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... Causes = RV failure ... #Sign #PhysicalExam ... 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.
Most likely diagnosis ... the underlying cause ... Kussmaul's (JVP ... #PhysicalExam # ... Clinical #Video #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 ... because she also has Kussmaul's ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... • Diagnostic ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular) A 70 y/o man presents with new
, and elevated JVP ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... arrest, start CPR ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
equipment. ❽ Discuss management ... interventional radiology ... BloodLoss #Hemorrhage #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... Start continuous CPR ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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