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 echocardiogram fibrillation intraoperative myocarditis pocus treatment ventricular vfib acute ards arrest biopsy
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
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Consider IL NS/LR infusion ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
- RUQ ultrasound ... as for septic shock ... (e.g. moderate ... resuscitation (e.g ... choledolithiasis (e.g
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... HF, Cardiogenic shock ... 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
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
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
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... Pts: cardiogenic shock ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
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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