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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27 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... 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 #neck
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Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
The differential diagnostic ... is very long. ... most important diagnoses ... #Management #Radiology ... #Lung #Multiple
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 ... + XRT tattoo = constrictive ... #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 ... expiration not meeting diagnostic ... pocus #clinical #cardiology
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Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... associated with constrictive ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Jugular #Waveforms #JVP ... #Differential #Diagnosis ... #PhysicalExam # ... cardiology
Progressive Massive Fibrosis on Chest X-Ray
In a construction worker presenting with shortness of breath.
Progressive Massive Fibrosis
a construction worker ... chronic interstitial lung ... pneumoconiosis which is caused ... #Chest #XRay #CXR ... silicosis #clinical #radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... is interstitial lung ... seen and in many cases ... #Diagnosis #Radiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
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