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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diagnosis anesthesia anesthesiology checklist intraoperative myocarditis summary biopsy bradycardia cardiotoxicity checkpoint criticalcare differential dissection ici inhibitor ischaemia ischemia oncology prs
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
intolerance • Chest ... pain, pericarditis ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Cardiology
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... tissue disorder e.g ... disease • Cardiac ... deficit • Shock Treatment ... Dissection #diagnosis #management
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... > Constrictive pericarditis ... Cardiac surgery? ... #criticalcare #treatment ... #workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... CM5 continuous ECG ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... differential #diagnosis #management ... #treatment
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Breathing • Check chest ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity Problem - Immune checkpoint inhibitors (ICIs) are associated with
serious arrhythmias, pericarditis ... abatacept for the treatment ... Monitor and trend electrocardiogram ... Cardiotoxicity #cardiology ... #treatment
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