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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30 results
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Hypoxia β€’ Pulmonary ... β€’ Oxygen β€’ Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
, hemoptysis Treatment ... β€’ Carbapenem (e.g ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... QRS interval on EKG ... The definitive treatment ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology
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 ... detected on CT or CXR ... Diagnosis #Management #CriticalCare
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... organ damage β€’ Treatment ... acid, Elevated Cr ... Low calcium β€’ Treatment ... unless worrisome EKG
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
EKG. ... CXR Repeatedly ... Orders placed, treatments ... RRT #Management #treatment ... #criticalcare
Medical Management of Acute RV Failure
 β€’ Evaluate and Treat Etiology of RV Failure [e.g. Acute
of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
latent TB s/p treatment ... is his original CXR ... Labeled CXR: ... ChestXRay #Clinical #Pulmonary ... #Radiology #AirFluidLevel