GeraldMD - GrepMed

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Dr. Gerald Diaz @GeraldMD

30.1M 13.9K 7.3K

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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Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression

Cardiac Rupture ... concerning for cardiac ... Echocardiogram #ultrasound ... #Cardiology #A4c ... #clinical

Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain
ECG:

POCUS 78 year old ... chest leads Cardiac ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology

Here are the most common examples of these four patterns on a chest x-ray (click image

consolidation - Multifocal ill-defined ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant

Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer

Source: Fanaroff AC ... : The Rational Clinical ... #EBM #Diagnosis ... #Cardiology #ACS ... Atypical #ChestPain #Cardiac

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Comparison #Table #RadiologyAssistant

Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more

present as multiple ill-defined ... can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant

Myocarditis

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic

Build clinical suspicion ... Manage acute cardiac ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

runner presents to clinic ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology

Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical

Cardiomyopathy - Diagnosis ... and Causes Clinical ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... #differential #cardiology

Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there

larger ones are ill-defined ... the differential diagnosis ... Biopsy revealed the diagnosis ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant

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