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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Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Multifocal Atrial ... disease (COPD) β€’ Hypoxia ... β€’ Pulmonary hypertension ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pulmonary #differential ... #diagnosis #causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular ... Diagnosis #pulmonary
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Diagnosis #Table
Causes of Palpitations
 β€’ ARRHYTHMiA 
 β€’ SINUS ARRYTHMIA 
 β€’ ATRIAL FIBRILLATION 
 β€’ ATRIAL
PARKINSON WHITE SYNDROME ... PHAEOCHROMOCYTOMA β€’ PULMONARY ... DISEASE β€’ HYPOXIA ... Palpitations #Causes #Differential ... #Diagnosis #Cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... progression, LA: left atrium ... , PASP: pulmonary ... #Diagnosis #Cardiology ... Grades #Criteria #Table
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... However, when the diagnosis ... cardiogenic shock (eg ... #NormalValues #Differential ... #Table #Chambers
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
IV Mg infusion (e.g ... - Tumor lysis syndrome ... #Diagnosis #High ... #Magnesium #Table ... #Causes #Management
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... #pulmonary #Hypoxia ... #hypoxemia #differential ... #diagnosis