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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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... maintained fever CAUSES ... #Differential #Causes ... #Checklist #Diagnosis ... #Management #Workup
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
β€’ Malignancy 
β€’ Milk-alkali syndrome 
β€’ Vitamin D toxicity 
β€’
Hypercalcemia - EKG ... Findings Causes ... β€’ Milk-alkali syndrome ... #Differential #Causes ... #Diagnosis #Cardiology
ECG Changes in Hyperkalemia and Treatment
Membrane Stabilization
 - Calcium gluconate or chloride 
Redistribution
 - Insulin
ECG Changes in Hyperkalemia ... and Treatment ... #Hyperkalemia #Treatment ... #Management #Diagnosis ... #ECG #EKG
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
tube ❹ Rapid diagnosis ... β€’ Diagnostic ... thoracotomy is a better treatment ... Plan definitive management ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellens’ syndrome ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens ... #Syndrome #TypeA
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes β€’ ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
hypertension Management ... β€’ Oxygen β€’ Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Hyperthermia Syndromes Comparison
Serotonin Syndrome - NMS - Malignant Hyperthermia - Malignant Catatonia
Cause - Onset - Vitals
Hyperthermia Syndromes ... Comparison Serotonin Syndrome ... Malignant Catatonia Cause ... Mental Status - Treatment ... #Comparison #diagnosis