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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EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... Drive: β€’ Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
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Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus tachycardia ... S1Q3T3 #Predictive #ECG ... #EKG #Findings ... #Diagnosis
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... obtained - Abnormal findings ... syncope Tests: ECG ... , Carotid U/S, EEG ... Effectiveness #table
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
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
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
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Cardiac Findings ... dysfunction or pulmonary ... - Effusion ECG ... arrythmias (V. tachycardia ... #Involvement #diagnosis
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
Beta Blocker Side Effects / Toxicity
Cardiac Side Effects:
 β€’ Sinus bradycardia, AV block, Heart failure exacerbation,
Effects / Toxicity Cardiac ... blocker withdrawal syndrome ... (e.g. tachycardia ... risk of sudden cardiac ... #pharmacology #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