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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Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... on ECG A 66- ... while walking to work ... #Wellens #Syndrom ... #Clinical #Cardiology
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 β€’ Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Diagnosis and Management ... β€’ Immunologic Workup ... life-threatening β€’ Treatment ... Usual therapeutic management ... #Summary #rheumatology
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
hypertension Management ... β€’ Oxygen β€’ Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Autoantibodies and their Disease Associations
ANA - Non-specific; common in SLE, autoimmune hepatitis
Anti-CCP, Rheumatoid factor - RA
Anti-dsDNA
La) - Sjogren's syndrome ... - Vasculitis, e.g ... - Vasculitis, e.g ... Goodpasture's syndrome ... diagnosis #table #rheumatology
Systemic Lupus Erythematosus - Summary
Antinuclear (ANA) - 95% - Initial screening test
Anti-dsDNA - 50%
 β€’ Associated
block β€’ Sjogren syndrome ... polymyositis overlap syndrome ... severe disease Treatment ... Summary #diagnosis #rheumatology ... #management
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... - Syncope Syndromes ... mchlwng #Syncope #Syndromes ... #ECG #EKG #Checklist ... #diagnosis #cardiology
Raynaud Phenomenon Differential Diagnosis:

Rheumatologic

 - MCC systemic sclerosis, RA, SLE, Sjogren syndrome, Antisynthetase syndrome, MCTD
Heme

 -
Differential Diagnosis: Rheumatologic ... sclerosis, RA, SLE ... , Sjogren syndrome ... Hypercoagulable state (eg ... Chemotherapy (eg
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
β€’ Immunologic Workup ... β€’ Immunologic Workup ... Usual therapeutic management ... comparison #table #rheumatology ... #diagnosis #management
Acquired von Willebrand Syndrome - Diagnosis and Management
 β€’ Autoantibodies to vWF: Lymphoproliferative disorders (e.g. lymphoma,
von Willebrand Syndrome ... Diagnosis and Management ... vonWillebrand #Syndrome ... #Diagnosis #Management ... #treatment #hematology
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 ... The definitive treatment ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram