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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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
Abdominal X-Ray Anatomy and Interpretation Checklist
 - Is there bowel dilatation, wall edema or pneumatosis?
 -
Abdominal X-Ray ... Interpretation Checklist ... you place every focus ... radiologistpage #Abdominal #XRay ... interpretation #radiology
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 #
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
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Fluid bolus 20 cc/kg ... Diagnostics: Chest X-ray ... HCG, ECG if concern ... Emergency #Management #CriticalCare
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
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 β€’ inflammatory bowel disease: UC and CD
Sign on Abdominal XRay ... β€’ infection (e.g ... Differential #Diagnosis #radiology ... KUB #Abdominal #XRay
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