Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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echocardiogram effusion a4c electrocardiogram plax alternans dissection electrical artery coronary differential malignant psax pulmonary ultrasound angiogram cardiac complex em embolism
Pericardial Effusion on EKG • Electrical alternans • Low voltage • Sinus tachycardia (suggests possibility of
on EKG • Electrical ... #Effusion #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #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 • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
fibrillation Clinical ... No prognostic value ... Osborn #JWave #Diagnosis ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
waves • Pseudo-STEMI ... #Hyperkalemia #EKG ... #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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 Accelerated Idioventricular Rhythm (AIVR) on EKG • Regular rhythm with wide. • QRS complexes >120
Rhythm (AIVR) on EKG ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #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
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... from LMCA into aortic ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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 Pericardial Clot on Echocardiogram ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot ... misdiagnosed as STEMI ... thrombolysed with SK ... Echocardiogram #POCUS ... #clinical #cardiology
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