Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... have elevated JVP ... #Giant #PHTN #JVP ... #PhysicalExam #Clinical ... #Video #Cardiology
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Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @
parasternal heave using ... Note her JVP waveform ... #PhysicalExam #Clinical ... #Video #PrecordialImpulse ... #Cardiology
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Kussmaul's Sign on Physical Exam

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

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increased blood volume during ... #physicalexam #clinical ... #video #jvp #cardiology
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
tricuspid valve during ... #PhysicalExam #Clinical ... #Video #Neck #Jugular ... #JVP #Cardiology
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On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison ... #Table #RadiologyAssistant
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
with suspected pulmonary ... venous pressure (JVP ... appropriate fall of the JVP ... #PhysicalExam #Clinical ... #Video #Neck #JVP
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Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... condition (left) and during ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... Cardiogenic pulmonary ... #Clinical #Radiology ... Reticular #Pattern #Comparison ... #Table #RadiologyAssistant
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... mm depends on clinical ... #Management #Radiology ... Society #Followup #Pulmonary ... #Nodules #RadiologyAssistant