Dr. Gerald Diaz @GeraldMD
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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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111 results
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... performed) β€’ Clinical ... gallop β€’ Abnormal ECG ... , echocardiogram ... β€’ Cardiogenic shock
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Patient is in shock ... exam shows the shock ... #BrokenHeart #Syndrome ... #Clinical #POCUS ... #Echocardiogram
β–Ί
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
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Syndrome (STSS) ... 50% in nec fasc Diagnostic ... #Syndrome #STSS ... #treatment #management ... #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Diagnosis Framework ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #Differential #Diagnosis ... algorithm #treatment #management
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
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... possible w/ early shock ... telemetry, 12-Lead EKG ... #Diagnosis #Management
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
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... blockade S - Shock ... Hyperkalemia Typical ECG ... DrEricStrong #BRASH #Syndrome ... #diagnosis #management
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... QRS interval on EKG ... WPW #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis