Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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cardiology ekg pocus echocardiogram aflutter atrial typical counterclockwise management myocarditis reverse tamponade ultrasound antidepressants apical biopsy cardiomyopathy clockwise clotintransit comparison
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
TCA Overdose on EKG • Sinus tachycardia • QRS prolongation • QT prolongation • Rightward deviation
TCA Overdose on EKG ... antidepressants #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical #criteria
66 yo with syncope - Ventricular Tachycardia This ECG shows a wide-complex tachycardia in a right bundle
the morphology criteria ... establish the diagnosis ... VentricularTachycardia #Clinical ... #Cardiology #ECG ... #EKG #Electrocardiogram
Cardiac Fibroma on Echocardiogram (a4c) 32yo asymptomatic male referred to clinics due to a "funny" ECG. Dx:
Cardiac Fibroma ... Echocardiogram (a4c ... due to a "funny" ECG ... #Fibroma #a4c # ... #cardiology #pocus
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 Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... tachycardia • S3, S4 ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
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