Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... atrial myxoma, pulmonary ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
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 ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
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Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
3 different P wave ... Secondary to chronic lung ... β€’ Hypoxia β€’ Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
lucencies within the lung ... since in many cases ... visible wall #CXR ... #Pulmonary #Diagnosis ... #Radiology
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR ... Consolidation #Causes
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
]/CO) ● Pulmonary ... ventricular stroke work ... ventricular stroke work ... Interpretation #Diagnosis ... CheatSheet #Waveforms #Cardiology
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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UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... particularly at the lung ... to confirm the diagnosis ... pattern at the lung ... #Clinical #Radiology