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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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 ... catheterization #cardiology
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
Neurological insult β€’ Medications ... fibrillation Clinical ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
QRS interval on EKG ... The definitive treatment ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Left Main Coronary Artery Thrombus seen on Angiography

β€œMother of all coronary thrombi”.  55 year old
Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
β–Ί
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
β–Ί
Wraparound LAD on Cardiac Catheterization

Answer: Proximal β€œWraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical
β–Ί
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
Drugs Used for the Treatment ... HCQ treatment would ... highlighted circle= clinical ... smfarmhosp_smfh #Drugs #Medications ... #Pharmacology #Table
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
Managing BPD Clinical ... with β€˜treatment ... summarised in Tables ... Personality #Disorder #Medications ... Effectiveness #Table
IDSA Recommendations for Preventing and Treating Chagas Disease (American Trypanosomiasis) in HIV-AIDS
Preventing Clinical Disease
Indication:  Individuals
HIV-AIDS Preventing Clinical ... duration same as for treatment ... Disease Note: Treatment ... and preventing clinical ... opportunistic #infections #HIVAIDS
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology