Dr. Gerald Diaz @GeraldMD
39.2M 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 ... #Pericardial #Effusion ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
- Pericardial Effusion ... Tamponade #POCUS #Diagnosis ... Evaluation #Cardiology #Effusion ... #Echocardiogram ... #Ultrasound
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Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
and left pleural effusion ... -chamber POCUS echocardiogram ... #s4c #POCUS #echocardiogram ... #POCUS #clinical ... #ultrasound #cardiology
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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
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... X-ray - Lung ultrasound ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr.
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
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Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... on EKG Associated ... with a critical ... FOAMfrat #Wellens #Syndrome ... electrocardiogram #diagnosis
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
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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