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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Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... intervention #Wellens #Syndrome ... Classification # ... #EKG #ECG #Electrocardiogram ... #Diagnosis
There are two patterns of T-wave abnormality in Wellensโ€™ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellensโ€™ syndrome ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens ... #Syndrome #TypeA
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 ... hepatopulmonary syndrome ... intracardiac shunting (eg
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   โ€ข Prolonged standing
by Classification ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... #Table #Causes
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (โ€œDecr Effective Circulating Volumeโ€) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Table #Causes
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Dysfunction #Grading #Classification ... Grades #Criteria #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   โ€ข Trauma
- Differential Diagnosis ... by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... #Table #CriticalCare
Causes of Metabolic Alkalosis - Differential Diagnosis
Chloride depletion syndromes
 โ€ข Gastrointestinal losses
    -
Causes of Metabolic ... - Differential Diagnosis ... Chloruretic drugs (eg ... dehydrogenase type ... #Differential #Diagnosis
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... congestion with hypoxemia ... objective assessmentโ€œ (e.g ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare