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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Pericardial Effusion on EKG
 β€’ Electrical alternans
 β€’ Low voltage
 β€’ Sinus tachycardia (suggests possibility of
Pericardial Effusion ... on EKG β€’ Electrical ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Accelerated Idioventricular Rhythm (AIVR) on EKG
 β€’ Regular rhythm with wide. 
 β€’ QRS complexes >120
Rhythm (AIVR) on EKG ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #clinical
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
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Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
fibrillation Clinical ... No prognostic value ... Osborn #JWave #Diagnosis ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
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 ... #Hyperkalemia #EKG ... #cardiology #diagnosis ... #clinical
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
Imaging Plane, e.g ... Structures Visualized, e.g ... (MV), Aortic valve ... #Nomenclature #POCUS ... #cardiology #views
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
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Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... thrombolysed with SK ... #Pericardial #effusion ... Echocardiogram #POCUS ... #clinical #cardiology
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Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
increases coronary perfusion ... coronary artery perfusion ... β€’ Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology