Dr. Gerald Diaz @GeraldMD
32.7M 13.9K 7.4K
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 Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Cardiac Valve Replacement ... Antiplatelet by Valve ... Bioprosthetic valves ... patients with chronic atrial ... #Management #Cardiology
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
bubbles in right atrium ... saline #flush #Echocardiogram ... POCUS #Clinical #criticalcare
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Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
mask uses a small valve ... The venturi valves ... β€’ FiO2 24-60% Partial ... Delivery #Devices #management ... #pulmonary #criticalcare
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
diastolic (during atrial ... cava; LA = left atrium ... TRPG = tricuspid valve ... the tricuspic valve ... cmls) #TTE #Echocardiogram
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... CONSIDER: a trial ... support #COVID19 #management ... #schema #criticalcare
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
consultation β€’ Valve ... growth or worsening valve ... β€’ Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Mobile Atrial Thrombus on Transesophageal Echocardiogram
TEE mid-esophageal view demonstrating left atrial thrombus. Also note mechanical mitral
Mobile Atrial Thrombus ... Transesophageal Echocardiogram ... mechanical mitral valve ... #Atrial #Thrombus ... Transesophageal #Echocardiogram
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Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 β€’ Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... AFib w/ AV Block, Atrial ... Unstable Bradycardia Management ... Differential #Diagnosis #Management ... #cardiology #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF, Severe Valve ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Prominent Eustachian valve on Echocardiogram
Prominent Eustachian valve can be confused with the right atrial mass, esp
Prominent Eustachian valve ... on Echocardiogram ... Prominent Eustachian valve ... with the right atrial ... #a4c #Echocardiogram
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