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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16 results
Decompensated Heart Failure Management Strategies

Wet (volume overloaded) vs Dry (euvolemic) and Cold (low cardiac output) vs
Decompensated Heart ... Failure Management ... and Cold (low cardiac ... vs Warm (normal cardiac ... #CHF #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... , heart failure; ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... with end-stage heart ... Treatments may include: cardiac ... #Management #Cardiology ... #CHF #Congestive
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
gallop β€’ Abnormal ECG ... shock, sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
Exam - Hi-Res Video ... www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... ventricle and is best ... heard over the ... Cardiology
β–Ί
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... Underlying structural heart ... Lancisis #Sign #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
β–Ί
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Spironolactone for Heart ... causes, aborted cardiac ... hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
inability of the right heart ... of right-sided HF ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
β–Ί
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Liver function tests ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary