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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41 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... other causes of cardio-pulmonary ... #EKG #Pulmonary ... #diagnosis #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... embolism. ... #Embolism #POCUS
β–Ί
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... over 2 h (>65 kg ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Acute Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Cavitary Lung Disease - Differential Diagnosis and Workup Algorithm
Acute / Subacute:
 β€’ Acute Infections: Lung abscess,
Lung Disease - Differential ... Diagnosis and Workup ... Pneumonia, Septic Emboli ... Algorithm #lesion #pulmonary ... #differential
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock Differential ... Diagnosis Algorithm ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ... Obstructive: β€’ Cardiac
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea - Differential ... Diagnosis Algorithm ... Cardiac: β€’ Dysrhythmia ... embolism β€’ Pulmonary ... #Diagnosis #Algorithm
Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
thromboembolism β†’ Cardiac ... β€’ Provoked (e.g ... - No other workup ... Hypercoagulable #Workup ... #hematology #diagnosis
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia - Differential ... Diagnostic Schema ... inflammation (e.g ... - Thrombus / Embolism ... : Cardiac (AF, LV
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg