Dr. Gerald Diaz @GeraldMD
23.2M 13.8K 7.2K
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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74 results
Pericardial Effusion on EKG
 β€’ Electrical alternans
 β€’ Low voltage
 β€’ Sinus tachycardia (suggests possibility of
Pericardial Effusion on EKG ... β€’ Electrical alternans ... Pericardial #Effusion #EKG ... #cardiology #diagnosis ... #clinical
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
features of the EKG ... can point to an alternate ... diagnosis: #Diagnosis ... #Cardiology #EKG ... #STSegment #Differential
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... demonstrating ECG ... alternans motion ... Echocardiogram #malignant #clinical ... #cardiology #pocus
β–Ί
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
β–Ί
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... Echocardiogram #malignant #clinical ... #cardiology #pocus ... #alternans
β–Ί
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Pericardial Effusion on POCUS ... for electrical alternans ... EKG from same patient ... #A4C #Clinical ... #Cardiology #Swinging
β–Ί
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Echocardiogram A4C ... ECG with anterolateral ... Echocardiogram #A4C ... LAD #occlusion #clinical ... #pocus #cardiology
β–Ί
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... QRS, electrical alterans ... #Becks #Triad #Diagnosis ... #Cardiology
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
fibrillation Clinical ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... period without chest ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology