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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Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
disease (COPD) β€’ Hypoxia ... β€’ Pulmonary hypertension ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
β€’ Malignancy 
β€’ Milk-alkali syndrome 
β€’ Vitamin D toxicity 
β€’
Hypercalcemia - EKG ... β€’ Milk-alkali syndrome ... Hypercalcemia #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... EKG is helpful in ... evaluating for other causes ... #EKG #Pulmonary ... #diagnosis #cardiology
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #diagnosis #causes
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellens’ syndrome ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens ... #Syndrome #TypeA
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... embolus SHUNT ... Intrapulmonary shunting (eg ... intracardiac shunting (eg
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... , tachycardia, hypoxemia ... Consider thrombolysis e.g ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... embolism. ... A4c #clinical #cardiology
β–Ί
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... (e.g. haloperidol ... #Anesthesiology ... #Management #Workup