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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Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... #Waves #Jugular ... Waveforms #JVP #PhysicalExam ... #cardiology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal Jugular ... Red blood cell casts ... pressure - Raised Jugular ... Nephritic #Comparison #Table ... #Nephrology #Diagnosis
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... increased blood volume during ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #neck #jugular
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Renal Tubular Acidosis (RTA) Diagnosis and Management
 • Distal (type 1) RTA
 • Proximal (type 2)
Renal Tubular Acidosis ... (RTA) Diagnosis ... #Acidosis #Diagnosis ... #Management #nephrology ... #table
Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Narrow Complex, Regular ... Irregular rhythm table ... #Diagnosis #Cardiology ... Tachycardia #Irregular #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 ... Regurgitation #PhysicalExam ... #Cardiology
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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 ... of RTA #Diagnosis ... RenalTubularAcidosis #Features #Table
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... tricuspid valve during ... Regurgitation #PhysicalExam ... #Video #Neck #Jugular ... #JVP #Cardiology
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Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... saipeeps #JVP #Jugular ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
patient is still able ... to copy Causes ... parietal lobule, angular ... Gerstmann #Syndrome #neurology ... #diagnosis