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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Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... on ECG A 66- ... A 12-lead ECG is ... #Wellens #Syndrom ... #ECG #EKG #Electrocardiogram
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... #Syndrome #TypeA ... Classification #Types #Cardiology ... #EKG #ECG #Electrocardiogram ... #Diagnosis
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
Ischemia T-Waves on ECG ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... TWaves #DeWinter #Wellens ... #HyperacuteT #Table
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellens ... ’ syndrome: -Type ... 75% of cases) #Diagnosis ... #Cardiology #ECG ... #EKG #Wellens #
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome ... on EKG Associated ... #Syndrome #EKG ... #ecg #cardiology ... electrocardiogram #diagnosis
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Proposed Algorithm ... without biopsy) e.g ... Löfgren's syndrome ... and/or cytology (e.g ... #diagnosis #Workup
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Acute Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Benign T-wave Inversion (BTWI) vs. Wellens'
 • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
V2-V4 in Wellens ... are generally stable ... Inversion #BTWI #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... velocities, PVF: pulmonary ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Grades #Criteria #Table
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