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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R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
Progression - normal chest ... lead ECG shows ... toward the left chest ... #Diagnosis #Cardiology ... #MedStudent #EKG
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
symptoms may include chest ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... TTE +/- TEE) • Chest ... • Aggressive management ... #Endocarditis #checklist ... criticalcare #diagnosis #management
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
of breath, or chest ... #Clinical #MedStudent ... #Cardiology #EKG
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... Differential #Causes #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management
d-Transposition of the Great Arteries
 • Anatomy
 • Epidemiology
 • Associated Lesions
 • Pathophysiology/Presentation
 • Classic
Presentation • Classic Chest ... Xray – “Egg on ... Pre-operative management ... peds #pediatrics #cardiology ... #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... cardiogenic shock #Checklist ... #HeartFailure #Cardiology ... #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
• Check ECG rhythm ... CardiacArrest #Checklist ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... airway expertise e.g ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management