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
Osborn (J Wave)

Etiology 
β€’ Hypothermia (below 320C / SOOF) 
β€’ Normal variant 
β€’ Hypercalcemia 
β€’ Neurological
Neurological insult β€’ Medications ... Osborn #JWave #Diagnosis ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
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 ... Inpatient #CathLab #Indications ... #Cardiac #catheterization ... #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
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... - Management of ... Diagnostics: Chest ... HCG, ECG if concern ... non-sinus rhythm or cardiac
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:
 β€’ Hemophilia A - Deficiency of Factor VIII
 β€’ Hemophilia B -
Malabsorption (e.g ... Anticoagulant Medications ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... #comparison #diagnosis
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
if suspected (e.g ... spleen, brain) Indications ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
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 ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 β€’ Orthostatic BP
 β€’ ECG
 β€’ Telemetry (if
Orthostatic BP β€’ ECG ... β€’ Ambulatory ECG ... or additional indications ... β€’ Brain MRI β€’ EEG ... EricsMedicalLectures/ #Syncope #diagnosis
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... , Symptoms and Management ... despite hx HTN) EKG ... #Symptoms #Cardiology