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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28 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
hour, Ant/Sept STEMI ... on EKG. ... Dissection #POCUS #Echocardiogram ... #PSAX #Clinical ... #Cardiology
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
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... STEMI on EKG ... #DoubleValve #Sign ... #cardiology #clinical ... #plax #clinical
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... #A4c #clinical ... #cardiology #McConnells
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
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... Anterior wall STEMI ... Cardiogenic shock, ECG ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
Intimal Flap on Echocardiogram ... elevations in different ECG ... dissection #a4c #plax ... #Echocardiogram ... #clinical #cardiology