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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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 ... #Workup #Algorithm
Approach to the Hypercoagulable State
Arterial thromboembolism
โ†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
โ†’ Test for APS, particularly
thromboembolism โ†’ Cardiac ... โ€ข Provoked (e.g ... - No other workup ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Canโ€™t Intubate, Canโ€™t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Shock - Diagnosis and Management Summary
 โ€ข Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... โ€ข Diagnostic ... Plan definitive management ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Pulmonary Arterial Catheterization โ€“ Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... cardiogenic shock (eg ... , acute valvular ... #Diagnosis #PACatheter ... #Differential #Table
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... objective assessmentโ€œ (e.g ... Summary #CheatSheet #Diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 โ€ข Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - ACS, AKI, acute ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology