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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Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
โ€ข Malignancy 
โ€ข Milk-alkali syndrome 
โ€ข Vitamin D toxicity 
โ€ข
Hypercalcemia - EKG ... Hypercalcemia #EKG ... #ECG #Electrocardiogram ... #Differential # ... Causes #Diagnosis
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 ... Management ... 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 ... 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 ... Cardiac, Neuro 4) Diagnose ... the underlying cause ... #criticalcare # ... pulmonary #Hypoxia
โ€œHโ€™s & Tโ€™sโ€œ - 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
 โ€ข Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... Diagnosis #pulmonary
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (โ€œDecr Effective Circulating Volumeโ€) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... pathology (e.g. ... #Diagnosis #Table ... #Causes #Sodium
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
IV Mg infusion (e.g ... - Tumor lysis syndrome ... #Diagnosis #High ... #Magnesium #Table ... #Causes #Management
Myocarditis - Diagnosis and Causes
 โ€ข 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
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