Dr. Gerald Diaz @GeraldMD
23.7M 13.8K 7.3K
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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ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 β€’ Posterior MI
Acute Occlusion MI ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Hypokinesis POCUS Echocardiogram ... What's the diagnosis ... Hypokinesis #POCUS #Echocardiogram ... #clinical #cardiology
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Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... early inferior MI ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
hour, Ant/Sept STEMI ... on EKG. ... Dissection #POCUS #Echocardiogram ... #PSAX #Clinical ... #Cardiology
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Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
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Myocarditis Diagnosis ... Cardiovascular MRI ... gallop β€’ Abnormal ECG ... , echocardiogram ... #Management #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... leads Cardiac MRI ... POCUS #Ultrasound #Clinical ... #Echocardiogram ... #Cardiology
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Hyperkalemia on EKG
"Mild" Hyperkalemia
 β€’ Peaked, narrow-based T Waves
 β€’ Double counting of HR by EKG
Hyperkalemia on EKG ... waves β€’ Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
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