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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Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
- Differential ... Juvenile T wave ... TWaveInversions #TWI #Differential ... Diagnosis #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... - Widespread T wave ... segments, usually best ... #ECG #electrocardiogram ... #cardiology #diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
β–Ί
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram ... #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Summary of Heart Blocks
1st Degree Heart Block:
 β€’ Prolonged PR >200ms (5 small squares).
 β€’ Narrow
non-conducted P wave ... Brady Management ... summary #Diagnosis #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
3 different P waves ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... Patient has t-wave ... #EKG #Electrocardiogram ... #clinical #cardiology
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity
Problem - Immune checkpoint inhibitors (ICIs) are associated with
abnormal screening tests ... Abnormal screening tests ... Monitor and trend electrocardiogram ... prednisone 1-2 mg/kg ... Cardiotoxicity #cardiology