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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12 results
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
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
• If stable ... • Nonoperative managernent ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
Electrical Storm ES diagnosed ... cardioversion Stable ... of reversible causes ... #VTach #diagnosis ... #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... Finger deformity caused ... • ED Management ... Mallet #Finger #Radiology ... #XRay #Diagnosis
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... Pericarditis #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... production to cause ... ventricular arrythmias Diagnostics ... Stress #Testing #cardiology ... #management #diagnosis
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the underlying cause ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... the underlying diagnosis ... PHTN #JVP #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
is identified (video ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology