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 Hyperkalemia and Treatment
Membrane Stabilization
 - Calcium gluconate or chloride 
Redistribution
 - Insulin
ECG Changes in Hyperkalemia ... and Treatment ... #Hyperkalemia #Treatment ... #Management #Diagnosis ... #ECG #EKG
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... is the default diagnosis ... features of the EKG ... to an alternate diagnosis ... #EKG #ECG #STElevation
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Oxygen β€’ Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
QRS interval on EKG ... The definitive treatment ... WPW #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... First line treatment ... Pericarditis #Cardiology #Diagnosis
Summary of Heart Blocks
1st Degree Heart Block:
 β€’ Prolonged PR >200ms (5 small squares).
 β€’ Narrow
β€’ No Treatment ... No Treatment. ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Low voltage Treatment ... #Myocarditis #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
organ damage β€’ Treatment ... Low calcium β€’ Treatment ... - Hyperkalemia treatment ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
**Get baseline EKG ... family history) Treatment ... LongQT #Syndrome #Diagnosis
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Jonesy_MA #Shock #Diagnosis ... #criticalcare #treatment