Dr. Gerald Diaz @GeraldMD
39.3M 14.2K 7.5K
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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23 results
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
lung disease (COPD ... β€’ Oxygen β€’ Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Asymptomatic Bacteriuria - IDSA Indications for Treatment
Healthy non-pregnant women - NO
Healthy pregnant women - YES
Functionally impaired
Bacteriuria - IDSA ... Treatment Healthy ... following spinal cord ... #Bacteriuria #IDSA ... #Indications #Treatment
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
100 Dosing: 250 mcg ... tablet once daily ... increase to 500 mcg ... recommendations for the treatment ... the use of this medication
Algorithm for screening/diagnosis and treatment/follow‐up of iron deficiency in patients with chronic heart failure. Hb, haemoglobin;
Algorithm for screening ... /diagnosis and treatment ... #HeartFailure #Cardiology ... #Indications #Treatment
Medical management of Stable Ischemic Heart Disease

#Management #Cardiology #Medical #Treatment #Stable #Ischemic #HeartDisease #Algorithm
management of Stable ... #Management #Cardiology ... #Medical #Treatment ... #Stable #Ischemic ... #HeartDisease #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... , Spinal Cord Injury ... Dehydration Shock Treatment ... #criticalcare #algorithm ... #treatment #management
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... tachycardia #Management #Algorithm ... peds #Pediatric #treatment
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab Indications ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... catheterization #cardiology
Pain Assessment and Management Initiative (PAMI) - Nonpharmacologic Interventions (pediatric and adult)
Physical (Sensory) Interventions
 - Comfort
massage - Hot or Cold ... treatments Cognitive-Behavioral ... techniques (breathing, meditation ... Interventions #Table
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
β€’ They must be able ... pts with severe COPD ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology