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 checklist classification pacatheter pressures summary admissions admitting algorithm artery biopsy calculations cardiomyopathy catheter catheterization chambers chf criteria curves
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
2) Immediate Assessment ... directed approach • Cardiogenic ... Obstructive 4) Diagnosis ... and Workup 5) ... #Shock
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
on ultrasound), assessment ... congestion, assessment ... Revascularization, treatment ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... ) Cardiogenic ( ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Summary #criticalcare ... #treatment #workup
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare #
Diastolic Function Grading - Schematic diastolic filling patterns I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Grades #Criteria #Table ... #Assessment
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential ... guyton #curves #criticalcare
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 ... those with severe cardiogenic ... shock (eg, acute ... #Differential #Table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... • Advanced cardiogenic ... forward flow. e.g ... artery #catheter #diagnosis ... #cardiology #swanganz
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
- Acute HF, Cardiogenic ... shock, Arrythmias ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #management #cardiology
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