Dr. Gerald Diaz @GeraldMD
39.5M 14.2K 7.5K
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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14 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... despite hx HTN) EKG ... pseudoinfarct pattern (Q-waves ... Diagnosis #Stages #Management ... #Cardiology #Staging
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... - Widespread T wave ... Normalization Spodick's sign ... segments, usually best ... #cardiology #diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
has Kussmaul's sign ... amzn.to/2LmUODZ #AWaves ... PHTN #JVP #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
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STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... obscenely huge waves ... JVP #Clinical #Video ... #AFib #PhysicalExam ... #Cardiology
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Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
Exam - Hi-Res Video ... www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... ventricle and is best ... #Video #Signs # ... Cardiology
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... #Lancisis #Sign ... Regurgitation #PhysicalExam ... #Clinical #Video ... Neck #Jugular #Cardiology
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Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain • ECG ... bradycardia #diagnosis #differential ... #management #cardiology