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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Dystocia Maneuvers
1. McRoberts: hyperflexion/adduction of both hips (knees against lateral abdomen) - requires an assistant at
Dystocia Maneuvers ... rotate anterior shoulder ... rotate posterior shoulder ... #Dystocia #Maneuvers ... obstetrics #obgyn #management
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... ANY ST Elevation should ... isolectric ST segment should ... Occlusion #Total #ECG ... #Clinical #Cardiology
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
hypertension Management ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Hypertrophic Cardiomyopathy ECG and Clinical Features #HOCM #Hypertrophic #Cardiomyopathy #Diagnosis #Management #Cardiology
Cardiomyopathy ECG ... Cardiomyopathy #Diagnosis #Management ... #Cardiology
Costoclavicular Maneuver for Thoracic Outlet Syndrome

To perform the Costoclavicular Maneuver, draw the patient's shoulders inferiorly and
Costoclavicular Maneuver ... the patient's shoulders ... Video via @open_michigan ... Outlet #Syndrome #Shoulder ... PhysicalExam #clinical #video
β–Ί
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... β€’ Vagal Maneuvers ... #tachycardia #Management
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Anterior Shoulder ... Dislocation - ED Management ... glenoid) β€’ ED Management ... Dislocation #Anterior #Radiology ... XRay #Diagnosis #Management
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Framework and Management ... variable block MANAGEMENT ... Modified Valsalva Maneuver ... Differential #Diagnosis #Management ... #cardiology
Limb Lead Reversal
In order to understand why the leads look the way they do, we must
This picture should ... #Diagnosis #Cardiology ... #ECG #EKG #LimbLeads
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
gallop β€’ Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology