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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management differential criticalcare treatment clinical cxr myocarditis pacatheter pressures radiology summary table workup acutepe algorithm anesthesia anesthesiology artery biopsy calculations
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... Pulmonary embolism ... Signs: Normal cardiac ... #Comparison #criticalcare ... #diagnosis #classification
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Hemorrhage • Renal ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Obstructive: • Cardiac
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... #Diagnosis #PACatheter
Extrapulmonary manifestations of COVID-19 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke • Renal:
Anosmia, Stroke • Renal ... vein thrombosis, Pulmonary ... thrombosis • Cardiac ... arrhythmias, Cardiogenic shock ... Extrapulmonary #Diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Cardiac surgery? ... #Diagnosis #Management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... dehydration due to renal ... uw_IMresidency #Shock ... #table #comparison
Transposition of Great Arteries (TGA) on Chest XRay - Oval Shaped Cardiac Silhouette - Narrow
- Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... CXR #ChestXRay #Radiology ... #Diagnosis #Clinical
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... artery #catheter #diagnosis ... #cardiology #swanganz
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