Dr. Gerald Diaz @GeraldMD
23.7M 13.8K 7.3K
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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9 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 2 β€” Optimize the ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... (e.g., familial ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
β€’ Classic triad ... erythropoietin β€’ Cardiomyopathy ... β†’ cardiomyopathy ... may present with pulmonary ... diagnostic procedures (eg
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... 2. ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... agent, steroids, AC
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
And Proteinuria (e.g ... Urine Dipstick β‰₯2+ ... doubling of Cr), pulmonary ... diagnosis so have high clinical ... htn #obstetrics #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
- with severe MS ... (2) Lvef 25-30% ... (7) patient in atrial ... be in CHF @echocardiography_tips ... #cardiology #a4c
β–Ί
Takotsubo Cardiomyopathy on POCUS Echocardiogram

50's male CAP on Day 4 Zpak but worsening-fever, congestion, cough. BP
Takotsubo Cardiomyopathy ... ECG Trop I 1.13. ... Apical 2 next. ... echo stress test 2 ... #a4c #clinical
β–Ί
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... hypertension? ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
β–Ί
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
CAD and HFpEF* 2. ... current guidelines (eg ... may exacerbate hypertension ... Enroll in HFpEF clinical ... Management #Algorithm #cardiology