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 anesthesia anesthesiology intraoperative cardiac criticalcare shock anaphylaxis arrest bradycardia cardiogenic cardiomyopathy chf cooling differential heartfailure influenza neuroprotection peripartum
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #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 ... #criticalcare #treatment
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 ... thoracotomy is a better treatment ... #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... LVEF, pericardial effusion ... recent DAN) • EMG ... differential #diagnosis #management ... #treatment
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #cardiology #treatment
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... rate, rhythm, perfusion ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
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 ... in critical care ... #Workup
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
function tests - Ultrasound ... needed to exclude effusion ... diagnostic uncertainty (e.g ... suspected Adiunctive treatments ... other indication (e.g
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