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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ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus 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 ... Embolism #AcutePE #diagnosis
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
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings β†’ Clinical diagnosis (without biopsy) e.g. LΓΆfgren's syndrome
Suggestive
Proposed Algorithm ... Clinicoradiological Findings ... without biopsy) e.g ... LΓΆfgren's syndrome ... and/or cytology (e.g
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
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 ... basic patterns of findings ... Acute #Workup #Algorithm
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... finding predictive ... myocardial #infarction #diagnosis ... #coronary #syndrome
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
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
Cardiac Findings ... dysfunction or pulmonary ... - Effusion ECG ... arrythmias (V. tachycardia ... #Involvement #diagnosis
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-BarrΓ© syndrome ... stroke, Delayed finding ... #differential #diagnosis ... #table #neurology