Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Pseudo-acute coronary syndrome ... , Cardiac failure ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
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 ... of cardio-pulmonary ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
β€’ Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... as for septic shock ... abdominal compartment syndrome ... limit them as able ... #Diagnosis #Management
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... #Differential #Table
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: β€’ Radiologic ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... anaphylaxis, release syndrome ... #table #comparison