Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis ... #Spodick #ECGEducator
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... gallop β€’ Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology ... #PLAX #clinical
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Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... , Symptoms and Management ... despite hx HTN) EKG ... #Symptoms #Cardiology
Cardiac Sarcoidosis on Echocardiogram

Spot diagnosis for the fellows. Thinned, dyskinetic basal septum in patient who presents
Cardiac Sarcoidosis ... on Echocardiogram ... Spot diagnosis ... #sarcoidosis #cardiac ... #plax #cardiology
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Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
Cardiac Stress Testing ... : EKG ($), ECHO ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology ... #management #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (-) EM ... HCM #clinical #echocardiogram ... #plax #cardiology
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Intracardiac Rhabdomyomas on Echocardiogram

Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Rhabdomyomas on Echocardiogram ... Huge cardiac ... masses...initially diagnosed ... #clinical #cardiology ... #pocus #plax
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Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... β€’ Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology