Dr. Gerald Diaz @GeraldMD
34.2M 14.0K 7.4K
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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POCUS Echocardiography - Table of Cardiac Views and Windows
 β€’ Parastemal Long-Axis View (PLAX)
 β€’ Parasternal
Echocardiography - Table ... of Cardiac Views ... -Chamber View (A4C ... Map #Comparison #Table ... Echocardiography #Cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... Shortly after had cardiac ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
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ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable ... LMCA lesion -> Cardiac ... Diagnosis #Management #Algorithm ... #Cardiology #EBM
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
Echocardiogram (a4c ... of underlying cardiac ... Atrial #Thrombus #a4c ... Echocardiogram #clinical ... #cardiology #pocus
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Causes of Pericarditis - Differential Diagnosis Algorithm
Viral:
 β€’ Coxsackie
 β€’ Echovirus
 β€’ Adenovirus
 β€’ Epstein-Barr virus
Differential Diagnosis Algorithm ... β€’ Vasculitis Cardiac ... : β€’ Post-cardiac ... Myxedema Other: β€’ Medication ... #Causes #Cardiology
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 ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... #Cardiac #catheterization ... #cardiology
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Cardiac Valve Replacement ... monotherapy (2017 AHA/ACC ... valve (2017 AHA/ACC ... #Management #Cardiology ... #Target #DOAC #Table
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Source: Fanaroff AC ... : The Rational Clinical ... EBM #Diagnosis #Cardiology ... Atypical #ChestPain #Cardiac
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Manage chronic cardiac ... myocarditis Clinical ... agent, steroids, AC
Cardiac Fibroma on Echocardiogram (a4c)

32yo asymptomatic male referred to clinics due to a "funny" ECG. 
Dx:
Cardiac Fibroma ... Echocardiogram (a4c ... male referred to clinics ... #Fibroma #a4c # ... #cardiology #pocus
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