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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Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Differential Diagnosis ... Embolism, Pneumothorax ... Embolism, Emphysema ... #hypoxia #Differential ... #Diagnosis #causes
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Secondary to chronic lung ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... #Diagnosis #ECG ... #EKG #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Diagnosis Framework ... embolus SHUNT ... shunting (eg, pulmonary ... #Differential # ... Diagnosis #pulmonary
“H’s & T’s“ - The reversible causes of Cardiac Arrest Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
The reversible causes ... Pneumothorax, Thrombosis (Pulmonary ... #HsTs #acls #differential ... #diagnosis #arrest ... #management
Hypercalcemia - EKG Findings Causes of Hypercalcemia • Malignancy • Milk-alkali syndrome • Vitamin D toxicity •
Findings Causes ... • Milk-alkali syndrome ... #Differential # ... Causes #Diagnosis ... #Cardiology
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pulmonary #differential ... #diagnosis #causes
Multiple masses The differential diagnostic list of multiple masses is very long. The most important diagnoses are listed
diagnostic list ... is very long. ... most important diagnoses ... #Management #Radiology ... #Lung #Multiple
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
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Embolism, Obstructive ... , Interstitial Lung ... #Hypoxia #hypoxemia ... #differential # ... diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... - Differential ... Superior vena cava syndrome ... • Interstitial lung ... embolism • Pulmonary
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