Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... First line treatment ... in refractory cases ... #Pericarditis #Cardiology ... #Diagnosis #Signs
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
glucocorticoid treatment ... organ-specific signs ... or symptoms (eg ... #Differential #diagnosis ... #hematology #eosinophilia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... examination and vital signs ... Intraoperative #Checklist
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... the case as Typical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
β–Ί
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
of more of the signs ... trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Hemophilia - Diagnosis and Management
Diagnosis:
 β€’ Consistent bleeding history (unless screening for disease in family members
normal in mild cases ... hemophilia type (e.g ... by a hemophilia treatment ... #Management #treatment ... #hematology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Signs: hypotension ... Consider thrombolysis e.g ... Intraoperative #Checklist ... #Diagnosis #Management