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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13 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
fever, what’s the clinical ... sign shown , what ... ’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #JVP #Cardiology
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 ... Hussain Ch @Hussainch ... #Cannon #Awaves ... #JVP #Cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... recommendations MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... dislocation, scaphoid ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... has Kussmaul's sign ... the underlying diagnosis ... #PhysicalExam #Clinical ... #Video #Cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... #Humerus #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... repair MH/CCF ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... Orthopedics #Proximal #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK