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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clinical echocardiogram effusion a4c alternans electrical cardiac cardiomyopathy diagnosis malignant plax complex differential hypertrophic peakedt tamponade algorithm aorticdissection aorticregurgitation apical
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
Normal variant • Hypercalcemia ... Neurological insult • Medications ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Hyperkalemia after ... A) #Clinical #Cardiology ... #EM #EKG #Hyperkalemia
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
Originates from single focus ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Hyperkalemia with Peaked T waves on ECG These are the classic peaked T-waves of Hyperkalemia. Notice how
Peaked T waves on ECG ... to a baseline ECG ... Be able to recognize ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Junctional Rhythms - Junctional rhythm describes an abnormal heart rhythm resulting from impulses coming from a
coming from a locus ... #Cardiology #MedStudent ... #EKG #Junctional ... #Rhythms #Table
There is a wide QRS and peaked T-waves. In particular, notice how flat the
HyperKalemia was ... #Clinical #EM #IM ... #Cardiology #Hyperkalemia ... #PeakedT #EKG
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
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... motion Massive pericardial ... malignant #clinical #cardiology ... #pocus #S4C #electrical
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 Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... motion Massive pericardial ... malignant #clinical #cardiology ... #pocus #a4c #electrical
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 Large Pericardial Effusion on POCUS Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial ... Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... A4C #Clinical #Cardiology
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