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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Pacemaker Coding Terminology
#Diagnosis #Cardiology #PPM #Pacemaker #LetterCode #Coding #Classification #Table #CoreEM
Pacemaker Coding ... Terminology #Diagnosis #Cardiology ... Pacemaker #LetterCode #Coding ... #Classification ... #Table #CoreEM
The first three letters refer to chamber paced, chamber sensed, and response to sensed events. The
#Cardiology #PPM ... Pacemaker #LetterCode #Coding ... #Classification ... #Table
Severity of Aortic Stenosis in Adults 
Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
Severity of Aortic ... >50 mmHg (2) (Table ... common problem in clinical ... #Diagnosis #Cardiology ... AorticStenosis #Classification
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 β€’ Na+ channels open leading to a
Transient K+ efflux moving ... Vaughan Williams Classification ... inotropy) ACCP Cardiology ... #Pharmacology #Classification ... #phases #cardiology
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
into meaningful clinical ... fails to achieve clinical ... Alternative causes ... -For severely agitated ... center that is using
β–Ί
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
Modified dengue severity ... classification, ... Leukopenia β€’ Cases ... include any child coming ... #classification
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 β€’ Arrows identifying the characteristic edema-like signal
lesion) - MSK Radiology ... signal about the closing ... emanates from the closing ... normal in these cases ... #mri #clinical
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
exacerbations Drug Class ... Eosinophils < 100 Dosing ... : 250 mcg tablet ... eosinophils are low, adding ... won’t have any clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Clinical β€’ Under-recognized ... Delivery β€’ Stable ... support for patients clinically ... diagnosis #management #cardiology
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... settings with crowding ... LBRF was epidemic during ... The table below ... microscopy #pathology #clinical