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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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
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome on ECG ... while walking to work ... A 12-lead ECG is ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis ... #Management #Workup
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
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... Relevant drug levels (e.g ... tox/infectious workup ... rigidity) Consider EEG ... Delirium #Evaluation #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
for Crises in Anaesthesia ... airway expertise e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑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