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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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
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... indicated, start CPR ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
Cardiac Stress Testing ... β€’ They must be able ... production to cause ... : EKG ($), ECHO ... Stress #Testing #cardiology
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... has potential to cause ... #Management #treatment ... #workup #pulmonary
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... malignant syndrome (e.g ... #Management #Workup
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #criticalcare #treatment ... #workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , dyspnea, +/- CXR ... unless worrisome EKG ... with tetany or cardiac ... Syndrome #TLS #diagnosis