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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Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... ANGINA - Angina pain ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... Diagnosis HEMODYNAMIC ... ) β€’ Drugs (e.g ... #Diagnosis #nephrology
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 β€’ Dehydration: Diuretics
 β€’ Altered intrarenal autoregulation: ACEIs / ARBs,
calcineurin inhibitors (e.g ... Sympathomimetics (e.g ... anticholinergic effects (e.g ... #differential # ... diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Diagnosis Baseline ... Investigations: full blood ... clinical context and signs ... Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 β€’ Due to true volume loss or decreased
Acute Kidney Injury ... (AKI) - Differential ... effective arterial blood ... #AKI #Differential ... #Diagnosis #nephrology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... women β€’ DDx: Acute ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG β€’ Conventional ... deviation) β€’ Acute ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... malignant syndrome (e.g ... Traumatic brain injury ... #Hyperthermia #Differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) β€’ Renal: (AKI ... quantify renal injury ... anti-GBM) Other tests ... recent DAN) β€’ EMG ... reveals increasing blood
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff ... the β€œChewing gum test