Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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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 ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Pericarditis #Cardiology
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Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 โ€ข With Every Beat
Venous Pressure (JVP ... @saipeeps #JVP ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Kussmaul's Sign on Physical Exam

Whatโ€™s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Whatโ€™s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
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Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (โ†“ Intravascular volume):
 โ€ข Hemorrhage, dehydration due
- Differential Diagnosis ... PCWP โ€ข Exam: โ†“ JVP ... findings based on cause ... #Differential #Diagnosis ... #table #comparison
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Most likely diagnosis ... the underlying cause ... #PhysicalExam # ... Clinical #Video #Cardiology
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Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
Multiple masses ... The differential diagnostic ... most important diagnoses ... listed in the table ... #Management #Radiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
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Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
shown , whatโ€™s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
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Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... #differential #causes