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
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... @EM_RESUS #STEMI ... LAD #Diagonal1 #ECG ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
ST elevation in lateral ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior ... #Lateral #InferoLateral
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 ... #ekg #electrocardiogram ... #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura ... #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
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... The lateral view ... #Clinical #Radiology ... #CXR #Lateral # ... #Thickening #RadiologyAssistant