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
help and inform clinical ... β€’ Diagnostic ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
39 C this is a clinical ... maintained fever CAUSES ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
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 ... #jvp #cardiology
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Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
interventional radiology ... an appropriate clinical ... BloodLoss #Hemorrhage #Anesthesiology ... Intraoperative #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 ... Pericarditis #Cardiology
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Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... #Video #Pupils ... #MacrusGunn #PhysicalExam
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Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
is identified (video ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
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Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... an appropriate critical ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre team of
Other drugs at clinician ... Consider alternate diagnoses ... X-ray as soon as clinically ... anaesthesia #Anesthesiology ... #Management #Workup