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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Algorithm for Diagnosing Diastolic Dysfunction With Doppler Echocardiography
 1. Determine the age of the patient
Algorithm for Diagnosing ... the patient 2. ... Echocardiography #Cardiology ... #Diagnosis #Grading ... #Classification
Severity of Aortic Stenosis in Adults 
Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
of >50 mmHg (2) ... (Table 1). ... common problem in clinical ... #Diagnosis #Cardiology ... AorticStenosis #Classification
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 β€’ Na+ channels open leading to a
Transient K+ efflux moving ... Phase 2 - Plateau ... Vaughan Williams Classification ... 2 - Beta Blockers ... #Pharmacology #Classification
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 β€’ Night-blooming
Clinically Significant ... Bilberry, Danshen, Dong ... potential arrhythmias Class ... pharmacology #DDI #table ... #cardiology
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 ... medication in 2 ... won’t have any clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... exclude other causes ... * 2. ... thrombus, RV systolic dysfunction ... Delivery β€’ Stable
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... resolved after 2- ... settings with crowding ... The table below ... microscopy #pathology #clinical
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... dilated and probably dysfunctional ... appears to be coming ... Echocardiogram #clinical ... intrapulmonary #cardiology
β–Ί
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
liver disease 2) ... = increased Aa gradient ... of orthodeoxia CLINICAL ... worsening dyspnea when moving ... or 4 mmHg) when moving
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... over 2 years. ... can be slower growing ... mm depends on clinical ... #Management #Radiology