Dr. Gerald Diaz @GeraldMD
23.2M 13.8K 7.2K
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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Pericardial Effusion on EKG
 β€’ Electrical alternans
 β€’ Low voltage
 β€’ Sinus tachycardia (suggests possibility of
Pericardial Effusion ... on EKG β€’ Electrical ... #Pericardial #Effusion ... #cardiology #diagnosis ... #clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
β–Ί
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... features of the EKG ... : #Diagnosis #Cardiology ... #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 ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... for pericardial effusion ... shunt lesions) β€’ Differentiate ... Echocardiography #diagnosis ... #cardiology #echocardiogram
Mediastinal Widening - Differential Diagnosis

 β€’ Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Mediastinal Widening - Differential ... Diagnosis β€’ ... Pneumomediastinum, Pericardial effusion ... #Diagnosis #pulmonary ... #radiology
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... Diagnosis Framework ... , pulmonary AVMs ... Failure #hypoxia #Differential ... #Diagnosis #pulmonary
Accelerated Idioventricular Rhythm (AIVR) on EKG
 β€’ Regular rhythm with wide. 
 β€’ QRS complexes >120
Rhythm (AIVR) on EKG ... β€’ Capture and fusion ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #clinical
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... - CBC with differential ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr.
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
fibrillation Clinical ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia