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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Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... , STEMI is the default ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Hypoxia β€’ Pulmonary ... β€’ Oxygen β€’ Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Medical Management of Acute RV Failure
 β€’ Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
endocarditis w/ septic pulmonary ... for metastatic infection ... if suspected (e.g ... block (+/- daily EKG ... (e.g. septic arthritis
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... β€’ Workup β€’ General ... #treatment #workup ... #pulmonary #criticalcare
Left Main Coronary Artery Thrombus seen on Angiography

β€œMother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... Primary PCI, first injection ... CathLab #clinical #cardiology
β–Ί
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Diagnosis and Management ... immunosuppression (eg ... presentations: β€’ Pulmonary ... this morphology Treatment ... #treatment #fungal
Summary of Heart Blocks
1st Degree Heart Block:
 β€’ Prolonged PR >200ms (5 small squares).
 β€’ Narrow
β€’ No Treatment ... Brady Management ... summary #Diagnosis #EKG ... electrocardiogram #ecg ... #cardiology
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
evaluation or workup ... 1,500 cells/Β΅L Workup ... drug reaction, infection ... glucocorticoid treatment ... signs or symptoms (eg