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
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... chest leads Cardiac ... Ultrasound #Clinical #Echocardiogram ... #Cardiology
β–Ί
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
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
gallop β€’ Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
thromboembolism β†’ Cardiac ... rhythm monitoring, Echocardiogram ... β€’ Provoked (e.g ... - No other workup ... Hypercoagulable #Workup
POCUS Echocardiography - Table of Cardiac Views and Windows
 β€’ Parastemal Long-Axis View (PLAX)
 β€’ Parasternal
Echocardiography - Table of Cardiac ... Flow Doppler #Anatomy ... #POCUS #Cardiac ... #TTE #Echocardiogram ... Echocardiography #Cardiology
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 β€’ Orthostatic BP
 β€’ ECG
 β€’ Telemetry (if
Cost-Effectiveness Workup ... indications: β€’ Echocardiogram ... β€’ Cardiac stress ... testing β€’ Cardiac ... Syncope #diagnosis #workup
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 ... Diagnosis #Management #Workup