Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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11 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... #cardiology #McConnells
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Myocarditis
Diagnosis 
โ€ข Endomyocardial biopsy (gold standard, rarely performed) 
โ€ข Clinical presentation 
โ€ข Cardiovascular MRI 
Clinical 
โ€ข
Myocarditis Diagnosis ... performed) โ€ข Clinical ... gallop โ€ข Abnormal ECG ... , echocardiogram ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Myocarditis - Diagnosis and Causes
 โ€ข Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes โ€ข Clinical ... Paraclinical assessment: EKG ... #differential # ... #cardiology #MRI
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #diagnosis #management ... #cardiology #summary
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... STEMI on EKG ... #DoubleValve #Sign ... #cardiology #clinical ... #plax #clinical
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STEMI Equivalents on ECG
 โ€ข Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG โ€ข Conventional ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... thatโ€™s called โ€œclinical ... PhysicalExam #JVP #Cardiology
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Peripartum Cardiomyopathy - Summary
1. Definition
 โ€ข Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... #management #cardiology