Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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75 results
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
fibrillation Clinical ... JWave #Diagnosis #Differential ... #Cardiology #EKG ... #ECG #Hypothermia
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Non-ischemic EKG ... Proximal aortic ... Note large aortic ... #Aorta #Echocardiogram ... #PLAX #Clinical
β–Ί
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
Echocardiogram Windows ... Imaging Plane, e.g ... Structures Visualized, e.g ... Mitral valve (MV), Aortic ... Nomenclature #POCUS #cardiology
Point of Care Transesophageal Echocardiogram during Cardiac Arrest

POC-TEE in cardiac arrest: Instant recognition of shockable rhythm
Transesophageal Echocardiogram ... during Cardiac ... POC-TEE in cardiac ... a pulse check (ECG ... #clinical #ultrasound
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Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... chest leads Cardiac ... POCUS #Ultrasound #Clinical ... #Echocardiogram ... #Cardiology
β–Ί
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... tissue disorder e.g ... disease β€’ Cardiac ... Pulse deficit/differential ... blood pressure: e.g
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes β€’ Clinical ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... Diagnosis #Causes #cardiology
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Taktosubo MIMIC on Echocardiogram ... A4C ECG with ... Taktosubo #mimic #Echocardiogram ... LAD #occlusion #clinical ... #pocus #cardiology
β–Ί
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
performed) β€’ Clinical ... Cardiovascular MRI Clinical ... gallop β€’ Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... diagnostics as clinically ... indicated (e.g. ... echocardiogram, ... EKG) Dr.