Dr. Gerald Diaz @GeraldMD
32.7M 13.9K 7.4K
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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55 results
Ventricular Parasystole on EKG

Normal AV conduction depolarizes the ventricle before the parasystolic focus fires

- Dr. Eric
Parasystole on EKG ... the parasystolic focus ... #Parasystole #EKG ... #ECG #electrocardiogram ... #cardiology #clinical
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Echocardiogram A4C ... ECG with anterolateral ... Echocardiogram #A4C ... occlusion #clinical #pocus ... #cardiology
β–Ί
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... See thread for POCUS ... Echocardiogram #A4c ... #clinical #cardiology
β–Ί
Torsades de Pointes
β€’ "Twisting of the pointes" 
β€’ QRS axis swings from positive to negative direction
Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Diagnostic Checklist ... Modified #Diagnosis #Checklist ... #EKG #electrocardiogram ... #ecg #cardiology
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... Relevant drug levels (e.g ... rigidity) Consider EEG ... nonconvuIsive status #Checklist ... #Workup #MICU #CriticalCare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... Hypokalemia #Management #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... Diagnosis #Management #CriticalCare