Dr. Gerald Diaz @GeraldMD
34.5M 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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Pericardial Effusion on EKG
 β€’ Electrical alternans
 β€’ Low voltage
 β€’ Sinus tachycardia (suggests possibility of
Pericardial Effusion ... on EKG β€’ Electrical ... #Pericardial #Effusion ... #cardiology #diagnosis ... #clinical
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
Knuckle Sign on ECG ... small pericardial effusion ... seen on an echocardiogram ... #EKG #Electrocardiogram ... #Clinical #LeadAVR
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Checklist for the ... for pericardial effusion ... Hypertension #PH #Checklist ... Echocardiography #diagnosis ... #cardiology #echocardiogram
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Alternans on POCUS Echocardiogram ... You dissect the EKG ... Alternans #POCUS #Echocardiogram ... #clinical #effusion
β–Ί
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... with a critical ... FOAMfrat #Wellens #Syndrome ... #EKG #ecg #cardiology ... electrocardiogram #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... 2ms spike - Fusion ... #Checklist #EKG ... electrocardiogram #ecg
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... abdominal compartment syndrome ... pain-dose ketamine infusion ... #Pancreatitis #Checklist ... #Diagnosis #Management
Accelerated Idioventricular Rhythm (AIVR) on EKG
 β€’ Regular rhythm with wide. 
 β€’ QRS complexes >120
Rhythm (AIVR) on EKG ... β€’ Capture and fusion ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #clinical
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... specific for a critical ... intervention #Wellens #Syndrome ... Types #Cardiology #EKG ... #Diagnosis
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr. ... Internet Book of Critical