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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24 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
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 ... TR, RV infarct, and ... #physicalexam #clinical ... #video #jvp #cardiology ... #neck #jugular
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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 ... onto outstretched hand ... Scaphoid #Carpal #Radiology ... #Management #Orthopedics ... #Sports #MSK
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
5th metacarpal neck ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
and Friedreich's ... Sign on Neck Examination ... Most likely diagnosis ... #PhysicalExam #Clinical ... #Video #Cardiology
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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 ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
onto outstretched hand ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #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 ... #PhysicalExam #Video ... #Clinical #Neck ... Pericarditis #Cardiology
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What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
5th metacarpal neck ... compromise - Certain radiologic ... Overlying wounds or signs ... #Metacarpal #Diagnosis ... #Orthopedics