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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diagnosis checklist criticalcare summary workup anesthesia anesthesiology cardiac intraoperative myocarditis shock treatment acute ards arrest biopsy cardiomyopathy cheatsheet checkpointinhibitors chf
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... - Large effusion ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... #Cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... resuscitation • Cardiogenic
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... - Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... leading to increased pulmonary ... Berlin criteria ... consistent with pulmonary ... objective assessment“ (e.g
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 ... Plan definitive management ... Checklist #Diagnosis #Management
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
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... cardiomyopathy • Pulmonary ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
function tests - Ultrasound ... needed to exclude effusion ... diagnostic uncertainty (e.g ... other indication (e.g ... Influenza #Checklist #Management
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 ... ❾ Plan further management ... in critical care
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