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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Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
diastolic filling patterns ... electrocardiogram, MI ... #Diagnosis #Cardiology ... #Grading #Classification ... Grades #Criteria #Table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Acute valve dysfunction ... Endocarditis - Post-MI ... #Classification ... Cardiogenic #Comparison #Table
Algorithm for Diagnosing Diastolic Dysfunction With Doppler Echocardiography
 1. Determine the age of the patient
Algorithm for Diagnosing ... mitral inflow pattern ... pressure (LVFP): #Algorithm ... Echocardiography #Cardiology ... Diagnosis #Grading #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... #Differential # ... #Table #CriticalCare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... O2 delivery β€’ MI ... #Classification ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... O2 delivery β€’ MI ... #Classification ... #criticalcare #differential ... #causes #classification
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Severe LV dysfunction ... New/worsening MR ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... Differential Diagnosis ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... diagnosis #management #cardiology