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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management differential cardiology causes criticalcare shock workup anaphylaxis anesthesia anesthesiology atrial capillary cardiomyopathy checklist clarksons classification crystals disease hyperthermic hyponatremia
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
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial Tachycardia ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... peds #Pediatric #treatment
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Table #Causes
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 ... Classification #Table
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
- Differential Diagnostic ... inflammation (e.g ... Antiphospholipid syndrome ... hypovolemia), Meds/Treatments ... #algorithm
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Urine Microscopy Crystals Uric Acid crystals: - Formation promoted by acidic urine - Seen in tumor lysis
in tumor lysis syndrome ... urease-producing organisms (e.g ... acidic urine - Diagnostic ... Microscopy #Crystals #comparison ... #table #urinalysis
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... recent DAN) • EMG ... #Renal #Syndromes ... #management #treatment
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... shock state) • Tachycardia ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #criticalcare #treatment
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