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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16 results
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Algorithm Radioactive ... if concern for nodular ... workup choices ... AND management options ... #Algorithm #Workup
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... #JVP #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 ... amzn.to/2LmUODZ #AWaves ... #Clinical #Video ... #Cardiology
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... that’s called “clinical ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
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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
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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 ... Pericarditis #Cardiology
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
, or Giant V wave ... It is caused by ... Regurgitation #PhysicalExam ... #Clinical #Video ... Neck #Jugular #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
is identified (video ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #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 ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
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Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
extorts) The wave ... Video by Kathleen ... ophthalmology #clinical ... #video #eye #ocular ... #PhysicalExam
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