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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R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
Progression - normal chest ... lead ECG shows ... toward the left chest ... #Diagnosis #Cardiology ... #MedStudent #EKG
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... pain ECG: non ... leads Cardiac ... Cardiomyopathy #POCUS ... Echocardiogram #Cardiology
β–Ί
Junctional Rhythms - Junctional rhythm describes an abnormal heart rhythm resulting from impulses coming from a
coming from a locus ... #Cardiology #MedStudent ... #EKG #Junctional
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
intolerance β€’ Chest ... gallop β€’ Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 β€’ Exam: Congestion vs Hypoperfusion
Diagnosis and Management ... Hypoperfusion from Cardiac ... Diagnostic Studies β€’ POCUS ... Management: β€’ ... #cardiology
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Asthma Algorithm - Management ... Diagnostics: Chest ... HCG, ECG if concern ... non-sinus rhythm or cardiac ... #Emergency #Management
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
of breath, or chest ... #Clinical #MedStudent ... #Cardiology #EKG
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 β€’ Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Compared Ambulatory ECG ... events, all (most) ECG ... Devices #Comparison #cardiology ... #management #holter
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
symptoms may include chest ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Checklist #Diagnosis #Management