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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Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... tissue disorder e.g ... valve disease ... β€’ Cardiac surgery ... #Dissection #diagnosis
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... pain, a normal chest ... x-ray and and ECG ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
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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 ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... See thread for POCUS ... #EKG #Electrocardiogram ... #clinical #cardiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
breathing system valves ... reservoir bag and APL valve ... β€’ Check ECG rhythm ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... Breathing β€’ Check chest ... reservoir bag and APL valve ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intracardiac Rhabdomyomas on Echocardiogram

Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Echocardiogram Huge cardiac ... masses...initially diagnosed ... just beneath the aortic ... valve Anguished ... #pocus #plax
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Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
system including valves ... known drug causes (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
system including valves ... blood gas, 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Workup #Management ... #Workup #anesthesia