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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Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... video, the antecubital ... But in rare cases ... estimation #Clinical #Video ... #estimate #Cardiology
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Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
(video). ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam #Video ... Pericarditis #Cardiology
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Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 β€’ With Every Beat
Venous Pressure (JVP ... ) Algorithm Outward ... @saipeeps #JVP ... Venous #Pressure #Algorithm ... #diagnosis #cardiology
Canon A waves on Physical Examination

Associated with complete heart block. Notice the relatively slow HR. Echocardiography
the relatively slow ... Waves #Clinical #video ... #PhysicalExam #cardiology ... #JVP #Jugular
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Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
demonstrated in the video ... Most likely diagnosis ... the underlying cause ... PhysicalExam #Clinical #Video ... #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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What’s the diagnosis ... and other rarer causes ... physicalexam #clinical #video ... #jvp #cardiology
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Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
- Differential Diagnosis ... PCWP β€’ Exam: ↓ JVP ... findings based on cause ... #Differential #Diagnosis ... #table #comparison
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
pulmonary venous flow ... , Vp: velocity of ... flow progression ... #Diagnosis #Cardiology ... Grades #Criteria #Table
Hypocalcemia - Differential Diagnosis Algorithm
 β€’ Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
- Differential Diagnosis ... Algorithm β€’ Low ... sunlight β€’ Other Causes ... #Differential #Diagnosis ... #Algorithm #causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
- Differential Diagnosis ... Algorithm Once ... filling of bucket (low ... #Differential #Diagnosis ... #Algorithm #Causes