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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There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
There are two patterns ... negativity (25% of cases ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
Wave Inversions - Differential ... TWaveInversions #TWI #Differential ... #Diagnosis #Causes ... #Cardiology #ECG ... #EKG #Electrocardiogram
Algorithm for Diagnosing Diastolic Dysfunction With Doppler Echocardiography
 1. Determine the age of the patient
Algorithm for Diagnosing ... mitral inflow pattern ... pressure (LVFP): #Algorithm ... Echocardiography #Cardiology ... Diagnosis #Grading #Classification
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
diastolic filling patterns ... moderate diastolic dysfunction ... LV compliance), ECG ... #Diagnosis #Cardiology ... #Grading #Classification
Cardiorenal Syndrome (CRS) Types
 • Type 1 - Acute CRS: Alteration of renal perfusion is the
Syndrome (CRS) Types ... shifts may be in cause ... Common pathogenetic patterns ... micro-circulatory dysfunction ... #cardiology #nephrology
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... vasodilatation, myocardial dysfunction ... CriticalCare #Shock #Differential ... #Causes #Types ... #Classification
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• May be no pattern ... #HeartBlocks #Types ... #Classification ... electrocardiogram #ecg ... #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
permanent organ dysfunction ... maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Causes #Anesthesiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Amyloid, Wild Type ... Mucopolysaccharidosis Type ... #differential # ... cardiology #algorithm
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... (II, III, AVF)(pattern ... seen in 34% of cases ... Pulmonary #Embolism #ECG ... #clinical #cardiology