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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Various wide complex tachycardia (WCT) differentiation algorithmic designs and algorithms.
The most commonly utilized approaches to differentiate
differentiation algorithmic ... designs and algorithms ... Differentiation #Ventricular ... Electrocardiogram #Diagnosis ... #Cardiology #Algorithms
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (β‰₯ 3 episodes of VT/ICD therapies
Algorithm for the ... Management of Ventricular ... Electrical Storm ES diagnosed ... cardioversion Stable ... #Tachycardia #Algorithm
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload β€œD Sign” EI
D-Sign on Ultrasound ... Right Ventricular ... Pocus101 #DSign #Ultrasound ... echocardiogram #psax #diagnosis ... #cardiology #pocus
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
Neurological insult β€’ Medications ... β€’ Ventricular ... fibrillation Clinical ... Osborn #JWave #Diagnosis ... #Differential #Cardiology
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
Diastolic Right Ventricular ... Tamponade #POCUS #Diagnosis ... #Evaluation #Cardiology ... Echocardiogram #Ultrasound
β–Ί
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 β€’ Sinus tachycardia
 β€’ Atrial flutter
- Differential Diagnosis ... Algorithm Narrow ... #Differential #Diagnosis ... #Algorithm #Causes ... #cardiology
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Shock Differential Diagnosis ... Algorithm Hypovolemic ... embolism β€’ Left ventricular ... pancreatitis β€’ Medication ... #Algorithm #shock
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 ... Sustained ventricular ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... catheterization #cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
restrictive left ventricular ... #Diagnosis #Cardiology ... Grades #Criteria #Table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
- Differential Diagnosis ... Tachyarrhythmias β€’ Ventricular ... depletion - Medication ... #Differential #Diagnosis ... Classification #Table