Dr. Gerald Diaz @GeraldMD
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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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Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Neurological insult • Medications ... Osborn #JWave #Diagnosis ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Oral anti-hypertensives with relative fast onset of action (Hypertensive Emergency)

The key concern with oral antihypertensive agents
you're up-titrating medications ... (e.g. procedural ... antihypertensives #medications ... Hypertensive #Emergency #Management ... #Pharmacology #Table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab Indications ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... catheterization #cardiology
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... INDICATIONS FOR ... evaluation or workup ... signs or symptoms (eg ... #Differential #diagnosis
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... or additional indications ... • Brain MRI • EEG ... EricsMedicalLectures/ #Syncope #diagnosis
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Infiltrative disorders (e.g ... in kidneys) - Medications ... (e.g. lithium, ... renal diseases (e.g ... #Table #Causes
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Malabsorption (e.g ... Anticoagulant Medications ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... #comparison #diagnosis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... spleen, brain) Indications ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
"I MD SOAPS" Infectious Diseases Exposure History

I - Immunization - Vaccination status (age-appropriate, comorbidities, travel, etc)
M
immunocompromising medications ... , prophylactic medications ... specific food (e.g ... Current or previous work ... InfectiousDiseases #Diagnosis
Algorithm for screening/diagnosis and treatment/follow‐up of iron deficiency in patients with chronic heart failure. Hb, haemoglobin;
Algorithm for screening ... /diagnosis and treatment ... Iron #Deficiency #Management ... #HeartFailure #Cardiology ... #Indications #Treatment