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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Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #cardiology
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
Here’s a deadly ECG ... *will* go into Cardiac ... Tombstones #SharkFins #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... with ROSC after cardiac ... Burn this ECG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR ... PericardialEffusion #RadiologyAssistant
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
Electrocardiogram (EKG ... ECG has been stable ... Cardiac MR shows ... cardiomyopathy #ecg ... #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... pericardial fat or effusion ... #Clinical #Radiology ... #CXR #Lateral # ... #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
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 ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... diagnosis #management #cardiology