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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29 results
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Severe Tricuspid Regurgitation ... progressive dyspnea and ... #PhysicalExam #Clinical ... Neck #Jugular #JVP ... #Cardiology
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Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Tricuspid Regurgitation ... #Tricuspid #Regurgitation ... Fibrillation #Neck #JVP ... #Clinical #Video ... #PhysicalExam #Cardiology
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Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
and Friedreich's ... Most likely diagnosis ... small blue-colored spot ... #PhysicalExam #Clinical ... #Video #Cardiology
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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
her JVP (video) ... the underlying diagnosis ... paradoxical rise in JVP ... PhysicalExam #Video #Clinical ... Pericarditis #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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Kussmaul's Sign ... What’s the diagnosis ... TR, RV infarct, and ... #physicalexam #clinical ... #video #jvp #cardiology
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV fusion ... has Kussmaul's sign ... the underlying diagnosis ... #PhysicalExam #Clinical ... #Video #Cardiology
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Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... “clinical electrophysiology ... #PhysicalExam #JVP ... #Cardiology #Neck ... #Frog #Sign
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Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... can't make A-OK sign ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK