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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Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... #Table #Causes
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... carcinoma of the lung ... pathology (e.g. ... #Diagnosis #Table
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Pseudo-acute coronary syndrome ... ventricular arrythmia, syncope ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Myocarditis #differential
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... Repolarisation as found in long ... QT syndrome but ... also a short QT syndrome ... #EKG #ECG #Diagnosis
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... objective assessmentβ€œ (e.g ... #ARDS #Summary ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... #Diagnosis #pulmonary
Small Vessel Vasculitides
 β€’ Granulomatosis with polyangiitis - Granulomatous manifestations (e.g., nasal crusting, destructive sinusitis, pulmonary
manifestations (e.g ... destructive sinusitis, pulmonary ... - Interstitial lung ... and Sjogren's syndrome ... #diagnosis
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... Symptoms: - Syncope ... **Get baseline EKG ... in new syncope/ ... #Diagnosis #Cardiology
Pleural Manometry Summary
Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
Pleural Manometry Summary ... and entrapped lung ... intermittently (e.g ... Pleural #Manometry #diagnosis ... #differential #