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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Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... intervention #Wellens #Syndrome ... Classification # ... #EKG #ECG #Electrocardiogram ... #Diagnosis
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellens’ syndrome ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens ... #Syndrome #TypeA
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... EKG is helpful in ... evaluating for other causes ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
by Classification ... contractility) - Acute ... exacerbation (any cause ... flow) - Massive pulmonary ... #Table #CriticalCare
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
(eg BPPV, orthostatic ... (eg Menière's, ... (eg vertebral artery ... (eg central cause ... #diagnosis #acute
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • ... presentation: Pseudo-acute ... coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
by Classification ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... #Table #Causes
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Table #Causes
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... - Differential Diagnosis ... vasoconstriction (e.g ... inhibitors, hepatorenal syndrome ... AIN) • Drugs (e.g