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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workup anesthesia anesthesiology cardiology intraoperative differential shock summary syndrome aortic cardiomyopathy disease msk myocarditis neurology pulmonary signs symptoms acute algorithm
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management Diagnosis 1. Wall thickness 215 mm (TTE/CT/MRI) 2. Absence
and Management ... 215 mm (TTE/CT/MRI ... Absence of Secondary Cause ... testing, LGE on MRI ... #Management #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... #management #diagnosis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... thoracotomy is a better treatment ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... block (+/- daily EKG ... Internet Book of Critical ... #criticalcare # ... diagnosis #management
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... often follows a URI ... First line treatment ... in refractory cases ... #Diagnosis #Signs
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... arrhythmia: - EKG ... patients (including cardiac ... #Hypokalemia #Management ... #CriticalCare
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Treatment depends ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Cardiomyopathy - Diagnosis ... and Causes Clinical ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... #cardiology #algorithm
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