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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19 results
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 ... increased blood volume during ... and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp
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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 ... small blue-colored spot ... the underlying cause ... #PhysicalExam #
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... more prominent during ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... are enough to diagnose ... the case as Typical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
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High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
- Differential Diagnosis ... L-lactate - produced during ... associated with short ... salicylate toxicity causes ... GOLDMARK #mnemonic #nephrology
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
grip weakness caused ... flexing the thumb (using ... clinical #video #neurology ... #physicalexam # ... #orthopedics #sports
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Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
process fracture Stable ... fractures: Don't cause ... spinal deformity or neurologic ... deficit, still able ... #Orthopedics #diagnosis
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Definitions - Stable ... rapidly over a short ... 3 NSTEMI - During ... thrombus formation causes ... #Diagnosis #Cardiology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... acetaminophen dosing ... D D-lactate (short ... Interpretation #Diagnosis ... #Summary #Nephrology
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
assessment • 0 - able ... sit still • 1 - reports ... still, but is able ... last ½ hour • 2 - nausea ... Buprenorphine #Score #Diagnosis