Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 7.4K
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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33 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Checklist #Diagnosis #Management
d-Transposition of the Great Arteries
 β€’ Anatomy
 β€’ Epidemiology
 β€’ Associated Lesions
 β€’ Pathophysiology/Presentation
 β€’ Classic
Great Arteries β€’ Anatomy ... Classic Chest Xray ... – β€œEgg on a String ... Pre-operative management ... peds #pediatrics #cardiology
Anticipated Valve Locations on Chest Xray - *These are anticipated locations.  The locations could be
Locations on Chest Xray ... the patient has anatomic ... chamber enlargement, cardiac ... #Clinical #Radiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
(TGA) on Chest XRay ... - Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... CXR #ChestXRay #Radiology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... airway expertise e.g ... trolley and then cardiac ... the laryngeal anatomy ... Anesthesiology #Anesthesia
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Asthma Algorithm - Management ... Diagnostics: Chest X-ray ... HCG, ECG if concern ... non-sinus rhythm or cardiac ... #Emergency #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... amphetamines) Toxic: β€’ Radiologic ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... consider: o Cardiac ... Anaphylaxis β†’ 3-1 o Cardiac ... Sepsis β†’ 3-14 o Cardiac ... Checklist #Diagnosis #Management
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... β€’ Call for cardiac ... Plan definitive management ... #Cardiac #Tamponade ... Checklist #Diagnosis #Management