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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Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
wave - due to atrial ... - due to right atrial ... the tricuspid valve ... the tricuspid valve ... Waveforms #JVP #PhysicalExam
Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the
Posteromedial Instability ... posteromedial instability ... Posteromedial #Instability ... #Knee #PhysicalExam ... clinical #video #orthopedics
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Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at
multidirectional instability ... Sign #Shoulder #PhysicalExam ... clinical #video #msk #orthopedics
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Positive J-Sign - Maltracking Patella on Knee Physical Exam

The J sign correlates with poor patellar tracking
and potential instability ... J #Sign #Knee #PhysicalExam ... clinical #video #msk #orthopedics
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Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Midcarpal Instability ... Intrinsic Midcarpal Instability ... MCI #Midcarpal #Instability ... #Wrist #msk #orthopedics ... clinical #video #physicalexam
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Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
in CVP due to atrial ... the tricuspid valve ... When the atrium ... conditions in which the atrium ... Complete #HeartBlock #PhysicalExam
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Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Hyperflexion injury with axial ... flexion due to inability ... Discharge with orthpedic ... Management #Hand #Orthopedics
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
diastolic (during atrial ... cava; LA = left atrium ... TRPG = tricuspid valve ... the tricuspic valve ... cmls) #TTE #Echocardiogram
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
as a result of arterial ... lead to carpal instability ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... Diagnosis #Management #Orthopedics
Mobile Atrial Thrombus on Transesophageal Echocardiogram
TEE mid-esophageal view demonstrating left atrial thrombus. Also note mechanical mitral
Mobile Atrial Thrombus ... Transesophageal Echocardiogram ... mechanical mitral valve ... #Atrial #Thrombus ... Transesophageal #Echocardiogram
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