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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22 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
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Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Neck Examination ... AV dissociation ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
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Canon A waves in a patient with AV dissociation

Occurs due to the simultaneous contraction of atria
patient with AV dissociation ... #waves #AV #dissociation ... #clinical #video ... #JVP #jugular # ... neck #cardiology
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Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... #Radiology #XRay ... Orthopedics #Sports #MSK
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... has Kussmaul's sign ... #Neck #PhysicalExam ... #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 ... #PhysicalExam #JVP ... #Cardiology #Neck ... #Frog #Sign
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... atrial myxoma, pulmonary ... Atrioventricular dissociation ... Jugular #Waveforms #JVP ... #PhysicalExam #cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... injuries: Perilunate dislocation ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... What’s the diagnosis ... #physicalexam #clinical ... #video #jvp #cardiology ... #neck #jugular
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Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
on Neck Examination ... Most likely diagnosis ... #Friedreichs #Neck ... #Clinical #Video ... #Cardiology
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