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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diagnosis cardiology criticalcare treatment checklist hypoxia alveolar anesthesia anesthesiology hypertension intraoperative workup aa adultonset airway arterial basics bradycardia cardiomyopathy causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Respiratory Failure - Differential ... lung diseases, pulmonary ... shunting (eg, atrial ... Failure #hypoxia #Differential ... #Diagnosis #pulmonary
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
diastolic (during atrial ... cava; LA = left atrium ... (or thrombi); RV ... acceleration time of pulmonary ... cmls) #TTE #Echocardiogram
Mediastinal Widening - Differential Diagnosis • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Mediastinal Widening - Differential ... anourysm, Enlarged pulmonary ... arteries, Venous or arterial ... Pneumomediastinum, Pericardial effusion ... Mediastinal #Widening #Differential
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
thromboembolic material ... • Ventilation-perfusion ... Vessels Thrombi ... Vessels Thrombi ... Thromboendarterectomy #diagnosis #management
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension • Record estimated PASP • Evaluate RV size
Evaluation of Pulmonary ... for pericardial effusion ... shunt lesions) • Differentiate ... Shah @HFpEF #Pulmonary ... diagnosis #cardiology #echocardiogram
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
o infection • Echocardiogram ... LVEF, pericardial effusion ... blood retum in serial ... Renal #Syndromes #differential ... #diagnosis #management
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Disease Clinical triad ... fraction < 20% Differential ... hepatitis • Pulmonary ... : pleural effusion ... Disease #diagnosis #management
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Framework and Management ... AFib w/ AV Block, Atrial ... epinephrine & start infusion ... #Bradycardia #Differential
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Disease and more • Diffusion ... Defect: Pulmonary ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
canoeing, kayaking, trail ... : conjunctival suffusion ... failure • Severe pulmonary ... diagnosis #treatment #management
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