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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7 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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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... edema, and clear lungs ... echocardiogram to workup ... Echocardiogram #a4c ... pocus #clinical #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
, and elevated JVP ... is identified (video ... Workup for cause ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
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Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 โ†’ start cefepime ยฑ vancomycin (if
full infectious work-up ... days โ†’ add fungal work-up ... Treat underlying cause ... interventional radiology ... Oncology #HemeOnc #Diagnosis