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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EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... cardionerds #EKG ... #EKG #Pulmonary ... #diagnosis #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Triage EKG (no prior ... #Embolism #ECG ... #EKG #Electrocardiogram
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
An Approach to Acute ... Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... #Algorithm #Diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 โ€ข Dysrhythmia
 โ€ข Ischemia
 โ€ข Cardiomyopathy
 โ€ข Valvular disease
Causes of Dyspnea ... Algorithm Cardiac ... Superior vena cava syndrome ... embolism โ€ข Pulmonary ... #Algorithm #Causes
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
(eg BPPV, orthostatic ... (eg Meniรจre's, ... (eg central cause ... ) #Titrate #algorithm ... #diagnosis #acute
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 โ€ข Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 โ€ข Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea ... - Differential Diagnosis ... Pulmonary/Chest ... Neuromuscular disease (eg ... Metabolic acidosis (eg
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
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... ETCO2 Symptoms: dyspnoea ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... objective assessmentโ€œ (e.g ... the underlying cause ... Summary #CheatSheet #Diagnosis