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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An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
physical exam (e.g ... . cardiac, pulmonary ... and the chest X-ray ... Dyspnea #Acute #Workup
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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Diagnosis #Management #Workup
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 ... peds #pediatrics #cardiology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
airway expertise e.g ... trolley and then cardiac ... the laryngeal anatomy ... Intubation #Difficult #Anesthesiology ... Diagnosis #Management #Workup
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 ... Differential #Causes #Anesthesiology ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... β€’ Call for cardiac ... anaesthesia #Cardiac ... #Tamponade #Anesthesiology ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis β†’ 3-1 o Cardiac ... Sepsis β†’ 3-14 o Cardiac ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Outcome from cardiac ... Obtain 12-lead ECG ... and discuss with cardiology ... #Arrest #Anesthesiology ... Diagnosis #Management #Workup