Dr. Gerald Diaz @GeraldMD
23.7M 13.8K 7.3K
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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11 results
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Hypoxia β€’ Pulmonary ... hypertension ... β€’ Oxygen β€’ Treatment ... #Diagnosis #ECG ... #EKG #Management
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 ... (Delta wave) 2 ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Hypotension 2. ... sounds, JVD and hypotension ... paradoxus - ECG ... collapse of RV - Treatment ... #Diagnosis #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 2 β€” Optimize the ... Revascularization, treatment ... 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 ... apparent type 2
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... 2. ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... 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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... hypertension? ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
β–Ί
Fusarium Infections
Acquired through:
1. Inhalation of airborne conidia > germinates > blood > disseminated
2. Trauma (implantation with
> disseminated 2. ... incubation 4 major clinical ... Refractory FUO, Sino-pulmonary ... disease: β€’ Optimal treatment ... cases; triazole (e.g