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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Pacemaker Coding Terminology
#Diagnosis #Cardiology #PPM #Pacemaker #LetterCode #Coding #Classification #Table #CoreEM
Pacemaker Coding ... Cardiology #PPM #Pacemaker ... #LetterCode #Coding ... #Classification ... #Table #CoreEM
The first three letters refer to chamber paced, chamber sensed, and response to sensed events. The
Cardiology #PPM #Pacemaker ... #LetterCode #Coding ... #Classification ... #Table
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 β€’ Na+ channels open leading to a
Transient K+ efflux moving ... open leading to slow ... Vaughan Williams Classification ... #Pharmacology #Classification ... #Classes #pathophysiology
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below ... Given low sensitivity
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
exacerbations Drug Class ... Eosinophils < 100 Dosing ... : 250 mcg tablet ... eosinophils are low ... won’t have any clinical
IDSA - Clinical Strategy to Build an Individualized Treatment Regimen for Multi-Drug Resistant Tuberculosis (MDR-TB)
 β€’
IDSA - Clinical ... Build a regimen using ... susceptible (or has low ... MDR-TB source cases ... #pharmacology #dosing
Dense Spontaneous Echo Contrast (SEC) on POCUS
Rouleaux flow on POCUS.  RBCs stick together to form
POCUS Rouleaux flow ... flow or increased ... Seems to be moving ... some COVID-19 cases ... #POCUS #clinical
β–Ί
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... Diagnosis = clinical ... : On one hand, classic ... identifies 85 to 95% of cases ... followed by long slow
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
few months ago during ... cutaneous mucor cases ... failure, infant low ... therapy), some cases ... dermatology #skin #clinical
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
tone = increased flow ... arteriovenous shunting causes ... of orthodeoxia CLINICAL ... worsening dyspnea when moving ... or 4 mmHg) when moving