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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Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
β€’ Malignancy 
β€’ Milk-alkali syndrome 
β€’ Vitamin D toxicity 
β€’
Hypercalcemia - ... of Hypercalcemia ... β€’ Malignancy ... #EKG #ECG #Electrocardiogram ... Causes #Diagnosis #Cardiology
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
Normal variant β€’ Hypercalcemia ... Neurological insult β€’ Medications ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
polyangiitis) - Malignancy ... in kidneys) - Medications ... cisplatin) - Chronic hypercalcemia ... - Chronic hypokalemia ... Differential #Diagnosis #Table
Since these risk factors are numerous and have different effects on the malignancy risk, it is
effects on the malignancy ... probability of malignancy ... [8](Table). ... Diagnosis #EBM #Radiology ... #Pulmonary #Fleischner
Size
A solitary pulmonary nodule (SPN) is defined as a single intraparenchymal lesion less than 3 cm
Size A solitary pulmonary ... cm are usually malignant ... listed in the table ... #EBM #Radiology ... #Pulmonary #SolitaryPulmonaryNodule
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Triage EKG (no prior ... Embolism #POCUS #Echocardiogram ... A4c #clinical #cardiology
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Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... velocities, PVF: pulmonary ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Grades #Criteria #Table
Hyperkalemia with Peaked T waves on ECG

These are the classic peaked T-waves of Hyperkalemia. Notice how
Hyperkalemia with ... Peaked T waves on ECG ... peaked T-waves of Hyperkalemia ... Be able to recognize ... #Clinical #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 ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... catheterization #cardiology
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
is mesmerizing: Malignant ... alternans on the ECG ... @eabramsMD #Malignant ... Clinical #POCUS #Echocardiogram ... ElectricalAlternans #Cardiology
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