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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Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Serial EKGS in pts ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Normalization Spodick's sign ... #Pericarditis #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
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 ... #clinical #cardiology ... #McConnells #sign
β–Ί
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 β€’ inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... β€’ infection (e.g ... Colon #Thumbprint #Sign ... #Differential # ... Diagnosis #radiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... #cardiology #STEMI
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG β€’ Conventional ... V2 β€’ Wellens sign ... pain β€’ Wellens sign ... #ECG #EKG #diagnosis ... cardiology #electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
- Brugada's sign ... - Josephson's sign ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
β–Ί
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain β€’ ECG ... Connect ECG Leads ... management #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... malignant syndrome (e.g ... hyperthermia crisis (late sign ... #Hyperthermia #Differential