Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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)
โ€ข At least 3 different P wave morphologies: 
โ€ข Rate 100-180
โ€ข Irregular 
Etiology
Multifocal Atrial Tachycardia ... โ€ข Hypoxia โ€ข Pulmonary ... hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... Drive: โ€ข Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
(eg BPPV, orthostatic ... (eg Meniรจre's, ... (eg central cause ... ) #Titrate #algorithm ... #diagnosis #acute
Pediatric SVT - Management Algorithm
Identify SVT:
 โ€ข HR not variable
 โ€ข Abrupt rate changes
 โ€ข Infants:
Algorithm Identify ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... #Management #Algorithm
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   โ€ข Prolonged standing
โ€ข Ventricular tachycardia ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... #Table #Causes
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Dysfunction #Grading #Classification ... Grades #Criteria #Table
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
An Approach to Acute ... Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... #Workup #Algorithm
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (โ€œDecr Effective Circulating Volumeโ€) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Table #Causes
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... objective assessmentโ€œ (e.g ... Summary #CheatSheet #Diagnosis
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 โ€ข Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology