Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential checklist treatment anesthesia anesthesiology cardiac criticalcare deficiency intraoperative pharmacology workup causes comparison hematology summary aicd aih anaphylaxis antihypertensives autoimmune
Bradycardias Comparison Table - SINUS BRADYCARDIA - JUNCTIONAL BRADYCARDIA - 1st DEGREE AV BLOCK
Table - SINUS ... HEART BLOCK #Diagnosis ... #Cardiology #EKG ... #ECG #Bradycardia ... Common #Comparison #Table
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
Neurological insult • Medications ... Osborn #JWave #Diagnosis ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #diagnosis #differential ... #management #cardiology
Oral anti-hypertensives with relative fast onset of action (Hypertensive Emergency) The key concern with oral antihypertensive agents
you're up-titrating medications ... (e.g. procedural ... antihypertensives #medications ... Hypertensive #Emergency #Management ... #Pharmacology #Table
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
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
- Differential Diagnosis ... Bradyarrhythmias • Sinus bradycardia ... side effect (e.g ... side effect (e.g ... Classification #Table
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Etiologies of Hypernatremia - Differential Diagnosis GI losses / Insensible losses Sodium Overload Transcellular Movement of Water Central Diabetes Insipidus
Infiltrative disorders (e.g ... in kidneys) - Medications ... (e.g. lithium, ... renal diseases (e.g ... #Table #Causes
Summary of Coagulation Deficiencies Inherited: • Hemophilia A - Deficiency of Factor VIII • Hemophilia B -
Malabsorption (e.g ... Anticoagulant Medications ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... #comparison #diagnosis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
if suspected (e.g ... spleen, brain) Indications ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
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