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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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
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... over 2 h (>65 kg ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... OSA DIFFUSION DISORDER ... 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
Causes of Palpitations
 β€’ ARRHYTHMiA 
 β€’ SINUS ARRYTHMIA 
 β€’ ATRIAL FIBRILLATION 
 β€’ ATRIAL
Causes of Palpitations ... PARKINSON WHITE SYNDROME ... PHAEOCHROMOCYTOMA β€’ PULMONARY ... #Differential #Diagnosis ... #Cardiology
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
one of several disorders ... WPW is caused by ... Pathophysiology #Diagnosis ... #Cardiology #MedStudent ... #EKG #WPW #WolffParkinsonWhite
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... #Differential #Causes ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... objective assessmentβ€œ (e.g ... Summary #CheatSheet #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
β€’ Obstructive: Pulmonary ... Embolism, Tension ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
o Circulatory embolus ... o Aspiration, pulmonary ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup