Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Multifocal Atrial Tachycardia (MAT)
โ€ข At least 3 different P wave morphologies: 
โ€ข Rate 100-180
โ€ข Irregular 
Etiology
disease (COPD) โ€ข Hypoxia ... โ€ข Pulmonary hypertension ... โ€ข Oxygen โ€ข Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #diagnosis #causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 โ€ข Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... #Differential #Diagnosis
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 โ€ข Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
evaluation or workup ... glucocorticoid treatment ... signs or symptoms (eg ... #Differential #diagnosis ... #hematology #eosinophilia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or โ‰ฅ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (โ†’ 3-14) e.g ... malignant syndrome (e.g ... #Management #Workup
Massive Hemoptysis - Diagnosis and Management
 โ€ข Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... has potential to cause ... #Management #treatment ... #workup #pulmonary
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 โ€ข Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... coma - Pulm: Hypoxia ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... โ€ข Diagnostic ... thoracotomy is a better treatment ... #Management #Workup
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... objective assessmentโ€œ (e.g ... Summary #CheatSheet #Diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... recent DAN) โ€ข EMG ... Goodpasture's cause ... hematuria, RBC casts ... #management #treatment