Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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33 results
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
video, the antecubital ... But in rare cases ... Antecubital #Vein #PhysicalExam ... #Clinical #Video ... #estimate #Cardiology
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CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 โ€ข Toxoplasmosis (CD4 < 100)
 โ€ข Other
Ring-Enhancing Lesions ... Compatible syndrome + MRI ... #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
(video). ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... Pericarditis #Cardiology
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Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (โ†“ Intravascular volume):
 โ€ข Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... findings based on cause ... uw_IMresidency #Shock #Differential ... #Diagnosis #table
Appearance of Liver Lesions on Various Imaging Modalities
 โ€ข Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver Lesions ... Resonance Imaging (MRI ... #POCUS #radiology ... #differential # ... diagnosis #comparison #table
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
demonstrated in the video ... the underlying cause ... #PhysicalExam # ... Clinical #Video ... #Cardiology
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Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, โ†‘ "Right Sided-Symptoms" (ascites, hepatomegaly, โ†‘โ†‘peripheral edema)
Physical
Diagnosis and Causes ... Physical Exam: โ†‘JVP ... Echocardiography, Cardiac MRI ... #differential # ... cardiology #algorithm
Kussmaul's Sign on Physical Exam

Whatโ€™s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
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Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 โ€ข Arrows identifying the characteristic edema-like signal
) - MSK Radiology ... repeated follow-up MRI ... (save $$) Differential ... #clinical #mri ... #clinical #Radiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... causes