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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management anesthesia checklist workup intraoperative tamponade complex differential echocardiogram effusion pericardial pocus a4c amyloidosis anaesthetic anaphylaxis arrest avnrt awaves cannon
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #Causes #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... Management Clinical ... despite hx HTN) EKG ... #Symptoms #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
Transposition of Great Arteries (TGA) on Chest XRay - Oval Shaped Cardiac Silhouette - Narrow
- Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... indicated, start CPR ... pericardiocentesis kit (eg ... examination and vital signs ... #Tamponade #Anesthesiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesiology
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... arrest, start CPR ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , dyspnea, +/- CXR ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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