Dr. Gerald Diaz @GeraldMD
33.9M 14.0K 7.4K
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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Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... QRS interval on EKG ... is ablation. 1 ... (Delta wave) 2 ... #ECG #EKG #Electrocardiogram
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
1. ... flutter waves 2. ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
1. ... Hypotension 2. ... sounds, JVD and hypotension ... paradoxus - ECG ... #Diagnosis #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
x 10 Rhythm (1) ... : WPW, ectopic atrial ... Short QT <300-360 ms ... #Approach #ECG ... #EKG #diagnosis
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... on context Rx 1 ... 2 β€” Optimize the ... Nephrotoxins (e.g ... channel blocker (eg
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
β€’ Classic triad ... : 1/2 paroxysmal ... may present with pulmonary ... diagnostic procedures (eg ... phenoxybenzamine blocks alpha-1
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... Build clinical suspicion ... 2. ... Pericarditis, Tamponade EKG ... agent, steroids, AC
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
And Proteinuria (e.g ... Urine Dipstick β‰₯2+ ... doubling of Cr), pulmonary ... diagnosis so have high clinical ... htn #obstetrics #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g