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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ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... tachycardia - ... S1Q3T3 #Predictive #ECG ... #EKG #Findings ... #Diagnosis
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 ... Drive: β€’ Sinus Tachycardia ... #EKG #Pulmonary ... #diagnosis #cardiology
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Multifocal Atrial Tachycardia ... β€’ Hypoxia β€’ Pulmonary ... hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Algorithm Identify ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... #Management #Algorithm
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. ... #Table #Causes
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
: hypotension, tachycardia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
if suspected (e.g ... with multiple embolic ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
- Differential Diagnostic ... inflammation (e.g ... - Thrombus / Embolism ... Antiphospholipid syndrome ... #algorithm
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
IV Mg infusion (e.g ... - Tumor lysis syndrome ... #Differential #Diagnosis ... High #Magnesium #Table ... #Causes #Management
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
β€’ Ventricular tachycardia ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... Classification #Table