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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18 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... jvp #cardiology #neck
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Diagnostic ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... #Neck #JVP #Jugular
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... Prepare for Front of Neck ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... the underlying cause ... #JVP #PhysicalExam ... #Clinical #Video
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... experience, the cause ... Horners #Syndrome #clinical ... #physicalexam #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... maintained fever CAUSES ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
as a possible cause ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #PhysicalExam # ... Clinical #Video
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
equipment. ❽ Discuss management ... an appropriate clinical ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup