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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cardiology management treatment criticalcare electrocardiogram hyponatremia shock acs acutepe bradyarrhythmia bradycardia cardiomyopathy chambers classification coronary edema embolism failure high hypermagnesemia
Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table #Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Tachycardia - Wide ... #Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... #Irregular #Table ... #Comparison #Differential
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 ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... pathology (e.g. ... #Diagnosis #Table ... #Causes #Sodium
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
• Ventricular tachycardia ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... #Table #Causes
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Algorithm The ... believe that the ST ... segment is the only ECG ... myocardial #infarction #diagnosis ... #coronary #syndrome
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential # ... diagnosis #table
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential ... Diagnosis Algorithm ... • Drugs • Pulmonary ... Uosm < 100 mmol/kg ... #Diagnosis #Algorithm
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
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
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