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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Modified Sgarbossa Criteria - Suspected AMI with LBBB on ECG #Diagnosis #Cardiology #Sgarbossa #Modified #LBBB #Algorithm
Modified Sgarbossa ... with LBBB on ECG ... #Diagnosis #Cardiology ... #LBBB #Algorithm ... #AMI
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology ... #coronary #syndrome
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Miss Signs of Ischemia ... in V1, unless LBBB ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG β€’ Conventional ... point β€’ De Winter syndrome ... deviation) β€’ Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
: - Neuro: AMS ... , dyspnea, +/- CXR ... have fever - ACS ... ischemia, bowel ... #TLS #diagnosis