Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
โ€ข Malignancy 
โ€ข Milk-alkali syndrome 
โ€ข Vitamin D toxicity 
โ€ข
Findings Causes ... โ€ข Milk-alkali syndrome ... Hypercalcemia #EKG ... #Differential #Causes ... #Diagnosis #Cardiology
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... of severe chest pain ... #Wellens #Syndrom ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome ... with a critical ... infarction - Present in pain-free ... #EKG #ecg #cardiology ... electrocardiogram #diagnosis
Myocarditis - Diagnosis and Causes
 โ€ข Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... specific for a critical ... artery โ€ข May be pain ... #EKG #ECG #Electrocardiogram ... #Diagnosis
There are two patterns of T-wave abnormality in Wellensโ€™ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellensโ€™ syndrome ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens ... #Syndrome #TypeA
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings โ†’ Clinical diagnosis (without biopsy) e.g. Lรถfgren's syndrome
Suggestive
Proposed Algorithm ... Clinicoradiological Findings โ†’ Clinical ... Lรถfgren's syndrome ... of alternative causes ... #Sarcoidosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... stimulus to ADH โ€ข Pain ... Uosm < 100 mmol/kg ... #Algorithm #Causes
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
(eg BPPV, orthostatic ... (eg Meniรจre's, ... (eg central cause ... ) #Titrate #algorithm ... #diagnosis #acute
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... without chest pain ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology