Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... performed) β€’ Clinical ... gallop β€’ Abnormal ECG ... shock, sudden cardiac ... #Cardiology
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes β€’ Clinical ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... #Causes #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 β€’ Regular rhythm with wide. 
 β€’ QRS complexes >120
Rhythm (AIVR) on EKG ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #clinical
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... #Pericarditis #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... Management Clinical ... despite hx HTN) EKG ... #Symptoms #Cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... dissection, PE, peri/myocarditis ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
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