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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19 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... from LMCA into aortic ... #CathLab #clinical ... #cardiology #fluoroscopy
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... infarction #diagnosis #coronary
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... or echo/angiogram ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... an impressive #ECG ... Anterolateral #EKG ... #ECG #clinical ... #cardiology
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... on Abdominal XRay ... - Differential ... • infection (e.g ... Diagnosis #radiology
There are about a dozen x-ray findings, but two of them are especially important: Loss of
about a dozen x-ray ... knob/aortic-pulmonary ... and the calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
(TGA) on Chest XRay ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical