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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14 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
(video). ... the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Pericarditis #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 ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #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 ... #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 ... 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 ... โ€ข 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 ... is identified (video ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
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Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
โ€ข Unexplained hypotension
โ€ข Unexplained bronchospasm (wheeze may be absent
as a possible cause ... arrest, start CPR ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

โถ Call for
equipment. โฝ Discuss management ... interventional radiology ... BloodLoss #Hemorrhage #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 โ€ข Sudden alteration in
Guidelines for Crises ... Start continuous CPR ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup