Dr. Gerald Diaz @GeraldMD
34.1M 14.0K 7.4K
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
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... while walking to work ... #Wellens #Syndrom ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
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
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings β†’ Clinical diagnosis (without biopsy) e.g. LΓΆfgren's syndrome
Suggestive
Clinicoradiological Findings β†’ Clinical ... biopsy) e.g. ... LΓΆfgren's syndrome ... and/or cytology (e.g ... #Workup
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome ... with a critical ... FOAMfrat #Wellens #Syndrome ... #EKG #ecg #cardiology ... electrocardiogram #diagnosis
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
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
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... to workup right-heart ... circumferential pericardial effusion ... expiration not meeting diagnostic
β–Ί
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