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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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
tamponade recurs. ❿ Plan ... definitive management ... specialist referral. β“« Plan ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... LVOTO #SAM #HOCM #POCUS ... #PLAX #clinical
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Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #neck #jugular
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Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
plan between surgical ... interventional radiology ... an appropriate clinical ... BloodLoss #Hemorrhage #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
39 C this is a clinical ... amphetamines) Toxic: β€’ Radiologic ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... #Neck #JVP #Jugular
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Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
β€’ Plan for repeat ... feasible (Box B). β“­ Plan ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the underlying cause ... #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
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High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
β€’ Plan to ensure ... hypnosis as soon as clinical ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... axillae and anterior neck ... see Box D). β“­ Plan ... Hyperthermia #Crisis #Anesthesiology ... #Management #Workup