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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29 results
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Severe Tricuspid ... Cardiac rhythm? ... #TR #Lancisis #Sign ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... the underlying diagnosis ... this case), and tricuspid ... #PhysicalExam # ... Pericarditis #Cardiology
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Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... despite hx HTN) EKG ... #Diagnosis #Stages ... #Symptoms #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... infarction, massive PE, tricuspid ... #physicalexam # ... diagnosis #cardiology
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... assessment - Vital signs ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #CriticalCare #Diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... TR, tricuspid regurgitation ... pulmonary stenosis; MVP ... #PhysicalExam # ... Diagnosis
Cannon A Waves
 β€’ Caused by atrial contracting against a closed tricuspid valve
 β€’ Atrioventricular dissociation
against a closed tricuspid ... activation from SVT (e.g ... Cannon #AWaves #diagnosis ... #cardiology #CVP
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Workup