Dr. Gerald Diaz @GeraldMD
23.2M 13.8K 7.2K
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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20 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... agent, steroids, AC ... #diagnosis #management ... #cardiology #summary
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
EKG Stage 1 - Widespread ... Normalization Spodick's sign ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... performed) β€’ Clinical ... β€’ Chest pain, pericarditis ... gallop β€’ Abnormal ECG ... #Cardiology
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes β€’ Clinical ... Paraclinical assessment: EKG ... hypokinesia, associated pericarditis ... #Causes #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
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Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Non-ischemic EKG ... What's the Diagnosis ... hemopericardium and tamponade ... Echocardiogram #PLAX #Clinical ... #Ultrasound #POCUS
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Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... can be seen in tamponade ... Had diagnostic tap-fever ... #clinical #cardiology ... #A3C #SeptalBounce
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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
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Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension Signs ... PMC5466174/ - VCU Ultrasound ... sided collapse) #Clinical ... #POCUS #Cardiology ... Echocardiogram #A4C
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Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Pericardial Effusion on POCUS ... swinging heart in pre tamponade ... EKG from same patient ... Echocardiogram #A4C ... #Clinical #Cardiology
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