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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Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... > overestimate JVP ... But in rare cases ... Antecubital #Vein #PhysicalExam ... Video #estimate #Cardiology
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Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
The differential ... listed in the table ... is difficult to differentiate ... #Management #Radiology ... Multiple #Massess #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... PCWP β€’ Exam: ↓ JVP ... findings based on cause ... uw_IMresidency #Shock #Differential ... #Diagnosis #table
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Clinical #Neck #JVP ... Pericarditis #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 ... or increase in JVP ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... causes
Kussmaul's Sign on Physical Exam

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

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and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... to diagnose the case ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #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.
What 2 eponymous JVP ... the underlying cause ... Kussmaul's (JVP ... #PhysicalExam # ... Clinical #Video #Cardiology
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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
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Mediastinal masses are discussed in more detail in Mediastinal masses.
Here is just a brief overview. #Diagnosis
Mediastinal masses ... in Mediastinal masses ... #Diagnosis #Radiology ... Mediastinal #Mass #Differential ... #Table #Anterior