Dr. Gerald Diaz @GeraldMD
39.5M 14.2K 7.5K
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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Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Irregular rhythm table ... #Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... Tachycardia #Irregular #Table ... #Comparison #Differential
Pulmonary Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death

Findings
Ratios for the ECG ... Predict Circulatory Shock ... Meta‐analysis #ECG ... #EKG #Findings ... S1Q3T3 #Predictive #Diagnosis
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... is the default diagnosis ... features of the EKG ... #EKG #ECG #STElevation ... #STSegment #Differential
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 ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
, hemoptysis Treatment ... β€’ Carbapenem (e.g ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... CNS pathology (e.g ... hemorrhage) - Pulmonary ... pathology (e.g. ... #Diagnosis #Table
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
: HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or ... 2 J/kg - Dr. ... peds #Pediatric #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... β€’ Obstructive: Pulmonary ... Treatment Goals ... ) UOP > 0.5 cc/kg
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential # ... #Table #CriticalCare
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The table lists ... the differential ... diagnosis. ... #Pulmonary #CXR ... Consolidation #Differential