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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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... - CBC with differential ... clinically indicated (e.g ... echocardiogram, EKG ... #algorithm #schema
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm in COVID19 ... low flow oxygen (e.g ... patients with COVID ... #management #schema ... #criticalcare #
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
Wave Inversions - Differential ... repolarization Myocardial ischemia ... #Diagnosis #Causes ... #Cardiology #ECG ... #EKG #Electrocardiogram
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Asthma Algorithm - Management ... Diagnostics: Chest ... HCG, ECG if concern ... rhythm or cardiac ischemia ... #CriticalCare #
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain β€’ ECG ... Connect ECG Leads ... #differential # ... management #cardiology
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 β€’ inflammatory bowel disease: UC and CD
Abdominal XRay - Differential ... Diagnosis: β€’ inflammatory ... β€’ infection (e.g ... colitis) β€’ bowel ischemia ... #Diagnosis #radiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
β€’ Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology ... #criticalcare
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Management #Workup