Dr. Gerald Diaz @GeraldMD
31.2M 13.9K 7.3K
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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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... 1 — Treat the lungs ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Lung Segment Anatomy ... Chest CT Right Lung ... Lung: • Upper ... #CT #CTChest #pulmonary ... #clinical #radiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... Diagnosis #ECG #EKG #Management
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
• Assess for Pulmonary ... Operability → Pulmonary ... ) • Consider Lung ... karanpdesai #cteph #management ... #algorithm #cardiology
Decompensated Heart Failure Management Strategies

Wet (volume overloaded) vs Dry (euvolemic) and Cold (low cardiac output) vs
Heart Failure Management ... #HeartFailure #management ... #CHF #cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
with suspected pulmonary ... CHD, congenital ... thromboembolic pulmonary ... HPAH, hereditary pulmonary ... ; CLD, chronic lung
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Loop #Thiazide #CHF ... #Cardiology #Management
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
transbronchial lung ... transbronchial lung ... transbronchial lung ... cHP = chronic hypersensitivity ... #pneumonitis #pulmonary
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
masses is very long ... #Management #Radiology ... #Lung #Multiple