Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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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 ... evaluating for other causes ... #EKG #Pulmonary ... #diagnosis #cardiology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 โ€ข Congestive heart failure
 โ€ข Constrictive
Causes of Pleural ... - Differential Diagnosis ... Algorithm Transudate ... embolism โ€ข Collagen ... #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... โ€ข Drugs โ€ข Pulmonary ... Uosm < 100 mmol/kg ... #Hyponatremia #Nephrology ... #Algorithm #Causes
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 โ€ข Dysrhythmia
 โ€ข Ischemia
 โ€ข Cardiomyopathy
 โ€ข Valvular disease
Causes of Dyspnea ... Algorithm Cardiac ... Superior vena cava syndrome ... embolism โ€ข Pulmonary ... #Algorithm #Causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 โ€ข Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... embolus SHUNT ... hepatopulmonary syndrome ... #Differential #Diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... seen in 34% of cases ... #Embolism #ECG ... #clinical #cardiology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases ... #Algorithm #diagnosis ... #nephrology #sodium
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 โ€ข Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
- Differential Diagnosis ... Abdominal Compartment Syndrome ... : โ€ข Vascular: Emboli ... #nephrology #causes ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
โ€ข Obstructive: Pulmonary ... Embolism, Tension ... Abdominal compartment syndrome ... #criticalcare #algorithm ... #treatment #management
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... objective assessmentโ€œ (e.g ... Summary #CheatSheet #Diagnosis