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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27 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 ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Lincoln Sign in Aortic Regurgitation

Lincoln sign in AR, elevated foot bobs up and down with each
Aortic Regurgitation ... down with each cardiac ... #Aortic #Regurgitation ... PhysicalExam #Video #clinical ... #cardiology
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 #cathlab ... #fluoroscopy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... electrocardiogram #cardiology
There are about a dozen x-ray findings, but two of them are especially important: Loss of
important: Loss of the aortic ... knob/aortic-pulmonary ... and the calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... exactly why the ECG ... Wraparound #LAD #Cardiac ... Catheterization #CathLab #cardiology ... #clinical #fluoroscopy
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
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... Management Clinical ... despite hx HTN) EKG ... #Amyloidosis #Cardiac ... #Symptoms #Cardiology
There are about a dozen x-ray findings, but two of them are especially important: Loss of
knob/aortic-pulmonary ... and the calcium sign ... positive calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... Here’s a deadly ECG ... *will* go into Cardiac ... @EM_RESUS #STEMI ... #cardiology #clinical