Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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15 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... period without chest ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... symptoms may include chest ... consultation with cardiology ... #Checklist #Diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Intraoperative Massive ... Discuss management plan ... haematologist. ⓬ Plan ... an appropriate clinical ... #Checklist #Diagnosis
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Echocardiogram STEMI on EKG ... - VCU Ultrasound ... Echocardiogram #cardiology ... #clinical #plax
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Intraoperative Bronchospasm ... Other drugs at clinician ... X-ray as soon as clinically ... safe to do so. ⓮ Plan ... #Checklist #Diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Evaluation - Chest ... X-ray and lung ultrasound ... Pyridostigmine - New diagnosis ... monitoring (vital signs
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... #Checklist #Diagnosis
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative ... Breathing • Check chest ... known drug causes (eg ... #Checklist #Diagnosis ... Management #Workup #Cardiology