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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12 results
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
episode of severe chest ... while walking to work ... A 12-lead ECG is ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
intolerance β€’ Chest ... pain, pericarditis ... gallop β€’ Abnormal ECG ... cardiac death Management ... #Cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... tissue disorder e.g ... deficit β€’ Shock Treatment ... blood pressure: e.g ... Dissection #diagnosis #management
Summary of Heart Blocks
1st Degree Heart Block:
 β€’ Prolonged PR >200ms (5 small squares).
 β€’ Narrow
β€’ No Treatment ... Brady Management ... summary #Diagnosis #EKG ... #electrocardiogram ... #ecg #cardiology
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... #criticalcare #treatment ... #workup
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 β€’ Rest angina attributed to coronary artery vasospasm.
 β€’ Patients often
Recurrent anginal chest ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
symptoms may include chest ... CM5 continuous ECG ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... recent DAN) β€’ EMG ... typically seen on chest ... differential #diagnosis #management ... #treatment
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... Breathing β€’ Check chest ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology