Dr. Gerald Diaz @GeraldMD
24.0M 13.9K 7.3K
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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Accelerated Idioventricular Rhythm (AIVR) on EKG
 β€’ Regular rhythm with wide. 
 β€’ QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
How to Use Point-of-Care Ultrasound to Identify Shoulder Dislocation #Clinical #Diagnosis #POCUS #MSK #POCUS #Shoulder #Dislocation
Point-of-Care Ultrasound ... to Identify Shoulder ... Dislocation #Clinical #Diagnosis ... #POCUS #MSK #POCUS ... #Shoulder #Dislocation
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS ... (PLAX view) ... Non-ischemic EKG ... What's the Diagnosis ... #Clinical #Ultrasound
β–Ί
Torsades de Pointes
β€’ "Twisting of the pointes" 
β€’ QRS axis swings from positive to negative direction
Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... /Sept STEMI on EKG ... Artery #Dissection #POCUS ... Echocardiogram #PSAX ... #Clinical #Cardiology
β–Ί
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload β€œD Sign” EI
D-Sign on Ultrasound ... ” EI > 1 - POCUS ... echocardiogram #psax ... #diagnosis #cardiology ... #pocus
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 ... pathogens (ideally should ... clinically indicated (e.g ... echocardiogram, EKG
Limb Lead Reversal
In order to understand why the leads look the way they do, we must
This picture should ... help: #Diagnosis ... #Cardiology #ECG ... #EKG #LimbLeads
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Abnormalities on POCUS ... ECG with concerning ... #Abnormality #POCUS ... Echocardiogram #clinical #cardiology ... #PSAX #Labeled
β–Ί
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
Imaging Plane, e.g ... ., LAX, SAX, or4C ... Structures Visualized, e.g ... #Nomenclature #POCUS ... #cardiology #views