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 cardiology checklist anesthesia anesthesiology criticalcare intraoperative algorithm hematology nephrology neurology electrocardiogram shock table classification summary acls acute bradycardia cardiacarrest
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
disease (COPD) • Hypoxia ... • Pulmonary hypertension ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Hypercalcemia - EKG Findings Causes of Hypercalcemia • Malignancy • Milk-alkali syndrome • Vitamin D toxicity •
Hypercalcemia - EKG ... Hypercalcemia #EKG ... #ECG #Electrocardiogram ... #Differential # ... Causes #Diagnosis
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pulmonary #differential ... #diagnosis #causes
Hypoxemia and Dyspnea - Rapid Response Management 1) Ask for vitals en route 2) Stabilize: Nasal canula 3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... Cardiac, Neuro 4) Diagnose ... the underlying cause
“H’s & T’s“ - The reversible causes of Cardiac Arrest Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
The reversible causes ... Pneumothorax, Thrombosis (Pulmonary ... #HsTs #acls #differential ... #diagnosis #arrest ... #management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... Diagnosis #pulmonary
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... #Management #Workup
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Myocarditis #differential ... #Diagnosis #Causes
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
Wave Inversions - Differential ... wave inversion syndrome ... #Diagnosis #Causes ... #Cardiology #ECG ... #EKG #Electrocardiogram
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Causes #Sodium
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