Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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9 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
(HOCM) 52yo ... MRI (+) septal HCM ... #HOCM #HCM #clinical ... #echocardiogram ... #plax #cardiology
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Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 β€’ Occurs during systole 
 β€’ Crescendo-decrescendo murmur
 β€’ Heard best
Hypertrophic Obstructive Cardiomyopathy ... Radiates aortic/mitral ... #Obstructive #Cardiomyopathy ... #Cardiac #Cardiology ... #Diagnosis #HOCM
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 β€’ Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Venous System/Right Heart ... Angiography or Cardiac ... non-culprit vessels β€’ Atrial ... risk factors: cardiomyopathy ... PFO, ASD, h/o of cardiac
Parasternal LAX view with severe septal thickening in a patient with Hypertrophic CM and obstruction. Given
risk for sudden cardiac ... #hypertrophic #cardiomyopathy ... #HOCM #HCM #plax ... #Echocardiogram ... #clinical #cardiology
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Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... regurgitation; HOCM ... hypertrophic obstructive cardiomyopathy ... Murmurs #Maneuvers #Heart ... #Cardiology #PhysicalExam
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... territory] In PLAX ... DD the [apical HOCM ... #Thrombus #clinical ... #cardiology #echocardiogram
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Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Rheumatic Heart ... Disease - Mitral ... (4) All 4 cardiac ... (7) patient in atrial ... #a4c #thrombus
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Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... on Echocardiogram ... the context of embolism ... #Cardiac #LV #Echocardiogram ... #cardiology
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Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
β€’ Pulmonary embolus ... 30%, LVEDd > 6.0 cm ... , LV thrombus, RV ... and timing with Cardio-OB ... follow-up with Cardio-OB