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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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Internal Jugular ... POCUS Amazing video ... significantly, it causes ... for underlying cause ... Flow #Internal #Jugular
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Kussmaul's Sign on Physical Exam

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

-
increased blood volume during ... and other rarer causes ... physicalexam #clinical #video ... cardiology #neck #jugular
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Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... tricuspid valve closing ... y descent - is caused ... #Waves #Jugular
Renal tubular acidosis (RTA): refers to a group of conditions all of which cause the same
Renal tubular acidosis ... conditions all of which cause ... different types/causes ... RenalTubularAcidosis #Features #Table
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... Narrow Complex - Regular ... Differential #Diagnosis #Algorithm ... #Causes #cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... backwards into the jugular ... tricuspid valve during ... PhysicalExam #Clinical #Video ... #Neck #Jugular
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Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal Jugular ... Red blood cell casts ... pressure - Raised Jugular ... Red blood cell casts ... Nephritic #Comparison #Table
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
visible in the jugular ... It is caused by ... tricuspid valve during ... PhysicalExam #Clinical #Video ... #Neck #Jugular
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Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... Defining the cause ... hypokalemia • Renal tubular ... differential #diagnosis #algorithm
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... Causes = RV failure ... pericarditis (this case ... #PhysicalExam #Video ... Clinical #Neck #JVP #Jugular
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