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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checklist differential workup anesthesia intraoperative criticalcare treatment cardiology algorithm table classification summary toxicology syndrome toxicity clinical comparison embolism hypoxia infections
Pulmonary Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death Findings
Pulmonary Embolism ... Predict Circulatory Shock ... From Pulmonary ... #EKG #Findings ... S1Q3T3 #Predictive #Diagnosis
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• Hypoxia • Pulmonary ... hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
and Inotropes - Pharmacology ... first agent in shock ... • Higher doses cause ... line in septic shock ... #Summary #management
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... comparison #table #pharmacology
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... #Differential #Diagnosis ... #causes
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Evaluation - EKG ... function tests if shock ... HeartFailure #Cardiology #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
Non-lschemic Causes ... of Cardiogenic Shock ... Tamponade, pulmonary ... #Cardiogenic #Shock ... #Differential #Diagnosis
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