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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9 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... 2ms spike - Fusion ... #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... edema - Large effusion ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... β€’ Diagnostic ... Intraoperative #Checklist
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
circumferential pericardial effusion ... expiration not meeting diagnostic ... criteria (D) a ... Echocardiogram #a4c ... #cardiology
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Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... reports of pleural effusion ... #Clinical #Diagnosis ... #Radiology #Honc
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
function tests - Ultrasound ... needed to exclude effusion ... uncertainty (e.g ... other indication (e.g ... lab-confirmed influenza, pulmonary
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
poor vital organ perfusion ... Obtain 12-lead ECG ... and discuss with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... getting 12 lead ECG ... Fibrillation #VFib #S4C ... Echocardiogram #ultrasound ... #Cardiology #clinical
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