Dr. Gerald Diaz @GeraldMD
39.3M 14.2K 7.5K
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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10 results
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Multifocal Atrial ... β€’ Hypoxia β€’ Pulmonary ... hypertension ... #Diagnosis #ECG ... #EKG #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... hypertension Rx ... 2 β€” Optimize the ... Nephrotoxins (e.g ... channel blocker (eg
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
β€’ Classic triad ... : 1/2 paroxysmal ... may present with pulmonary ... diagnostic procedures (eg ... apparent type 2
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
(e.g. facial trauma ... rate: β€’ Flow 2- ... β€’ FiO2 24-60% Partial ... Delivery #Devices #management ... #pulmonary #criticalcare
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
2. ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
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
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 ... #Algorithm #cardiology
Fusarium Infections
Acquired through:
1. Inhalation of airborne conidia > germinates > blood > disseminated
2. Trauma (implantation with
> disseminated 2. ... incubation 4 major clinical ... Refractory FUO, Sino-pulmonary ... cases; triazole (e.g ... infectiousdiseases #diagnosis #management