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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differential anesthesia anesthesiology intraoperative workup causes criticalcare treatment algorithm shock acutepe airway arrest biopsy cardiacarrest cardiomyopathy cooling curves cyanosis dyspnea
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... , Cardiac failure ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Diagnosis #Management ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... other causes of cardio-pulmonary ... #EKG #Pulmonary ... #diagnosis #cardiology
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
- Differential Diagnosis ... Algorithm Cardiac ... pericarditis • Myocarditis ... Superior vena cava syndrome ... embolism • Pulmonary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Valve Disease, Myocarditis ... • Obstructive: Pulmonary ... Embolism, Tension ... Pneumothorax, Cardiac ... Abdominal compartment syndrome
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... over 2 h (>65 kg ... mainstay of initial management ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... #criticalcare #diagnosis ... #management
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
PARKINSON WHITE SYNDROME ... PERICARDITIS • MYOCARDITIS ... SYPATHOMIMETICS • CARDIAC ... #Differential #Diagnosis ... #Cardiology
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
LV Failure (MI, myocarditis ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... Embolism, Outflow ... Undifferentiated #Shock #diagnosis
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