Dr. Gerald Diaz @GeraldMD
39.5M 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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7 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... Hypotension 2. ... sounds, JVD and hypotension ... paradoxus - ECG ... #Diagnosis #Cardiology
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
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... intradialytic hypotension ... K 5.9 without EKG ... Echocardiogram #A4C ... #clinical #cardiology
β–Ί
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
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
RV dysfunction. e.g ... correlate in the SHOCK trial ... Increases in RAP or pericardial ... forward flow. e.g ... Ahmed Ghoneem, MD MSc
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