Dr. Gerald Diaz @GeraldMD
34.1M 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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Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Irregular rhythm table ... #Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... Tachycardia #Irregular #Table ... #Comparison #Differential
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
Neurological insult β€’ Medications ... JWave #Diagnosis #Differential ... #Cardiology #EKG ... #ECG #Hypothermia
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 ... #Cardiac #catheterization ... #cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
complaining of chest ... pain ECG: non ... specific TWI in chest ... leads Cardiac ... Echocardiogram #Cardiology
β–Ί
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Hypernatremia - Differential ... in kidneys) - Medications ... (e.g. lithium, ... Hypernatremia #Differential ... #Diagnosis #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #Myocarditis #differential ... Diagnosis #Causes #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... CXR #ChestXRay #Radiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... depletion - Medication ... Alcohol blackout - Medication ... #Syncope #Differential ... Classification #Table