Dr. Gerald Diaz @GeraldMD
39.2M 14.2K 7.5K
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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Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
β€’ Provoked (e.g ... - No other workup ... CBC, aPTT, +/- CXR ... #hematology #diagnosis ... #algorithm #hematology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager Summary ... mononeuritis multiplex WORKUP ... & DIAGNOSIS Labs ... BNP, troponin if concern ... recent DAN) β€’ EMG
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... leading to increased pulmonary ... detected on CT or CXR ... Syndrome #ARDS #Summary ... #CheatSheet #Diagnosis
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... reactive” response to cancer ... #Clinical #Diagnosis ... #Radiology #Honc
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... note, discharge summary ... will also get an EKG ... and CXR ... Pearls #Checklist #diagnosis
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Normal work up including ... negative ECG, CXR ... Ventricular #Mass #Cancer ... Echocardiogram #clinical ... #cardiology #PLAX
β–Ί
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary ... cardiomyopathy β€’ Pulmonary ... Clinical β€’ Under-recognized ... during Delivery β€’ Stable ... #management #cardiology
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
And Proteinuria (e.g ... insufficiency (Cr ... ), pulmonary edema ... so have high clinical ... htn #obstetrics #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... as patient is stable ... an appropriate critical ... Intraoperative #Checklist #Diagnosis ... #Management #Workup