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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Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... Chest Pain β€’ ECG ... Connect ECG Leads ... #cardiology
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
production to cause ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
Risk of reflex bradycardia ... β€’ Higher doses cause ... β€’ 1st agent in anaphylaxis ... cAMP/cGMP β€’ Causes ... Pharmacology #Summary #management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... tachycardia or bradycardia ... β€’ Unexpected cardiac ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Distributive: Sepsis, Anaphylaxis ... Decompensated CHF ... Pneumothorax, Cardiac ... #criticalcare #algorithm ... #treatment #management
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
decompensated CHF ... Intracardiac shunt, Cardiomyopathy ... Acute: Angioedema, Anaphylaxis ... Neuromuscular disease (eg ... Metabolic acidosis (eg
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... associated with sudden cardiac ... Mnemonic #Syncope #EKG ... #ECG #Diagnosis ... #Cardiology
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... flare ups that cause ... Treatments may include: cardiac ... #Management #Cardiology ... Stages #ACCAHA #Algorithm
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia β†’ 3-12 o Anaphylaxis ... β†’ 3-1 o Cardiac ... (eg steroid dependency ... Checklist #Diagnosis #Management