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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22 results
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis β€’ Rule out differential ... #Myocarditis #differential ... #Diagnosis #Causes ... #cardiology #MRI
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... - CBC with differential ... nonconvuIsive status #Checklist ... #Workup #MICU #CriticalCare ... #Diagnosis
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
Evaluate underlying cause ... Cardioembolic: β€’ ECG ... Ruled out other causes ... stroke #workup #diagnosis ... #checklist #neurology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... See thread for POCUS
β–Ί
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... exacerbation (any cause ... #Table #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... findings based on cause ... #comparison #criticalcare
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Resonance Imaging (MRI ... #Contrast #CT #MRI ... #POCUS #radiology ... #differential # ... diagnosis #comparison
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... #Hyperthermia #Differential ... #Causes #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... POTENTIAL CAUSES ... Airway #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management