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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34 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... female with chest pain ... thread for POCUS Pulmonary ... Echocardiogram #A4c ... #clinical #cardiology
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Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension ... sided collapse) #Clinical ... #POCUS #Cardiology ... Echocardiogram #A4C ... #Cardiac #Tamponade
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Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Blood Pressure, Pulmonary ... #Pharmacology # ... Effect #Management
Severe Pulmonary Hypertension on Echocardiogram
Pulmonary hypertension results in compensatory changes to the RV. The RV appears
Severe Pulmonary ... Hypertension on ... rectangular (from A4C ... Echocardiogram #clinical ... #cardiology #pocus
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Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
performed) β€’ Clinical ... intolerance β€’ Chest pain ... shock, sudden cardiac ... death Management ... #Cardiology
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
Cardiac Stress Testing ... β€’ They must be able ... Bradycardia & hypotension ... Stress #Testing #cardiology ... #management #diagnosis
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Source: Fanaroff AC ... Patient With Chest Pain ... : The Rational Clinical ... EBM #Diagnosis #Cardiology ... Atypical #ChestPain #Cardiac
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Cardiac Valve Replacement ... monotherapy (2017 AHA/ACC ... valve (2017 AHA/ACC ... #Management #Cardiology ... #Target #DOAC #Table
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 β€’ Night-blooming
Clinically Significant ... ACEIs, leading to hypotension ... ACEIs, leading to hypertension ... supplementals #herbal #pharmacology ... #DDI #table #cardiology