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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37 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... - Review of medication ... septic shock (e.g ... limit them as able ... #Pancreatitis #Checklist
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 ... #Cardiac #catheterization ... #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... Sepsis (β†’ 3-14) e.g ... amphetamines) Toxic: β€’ Radiologic ... Differential #Causes #Anesthesiology ... #Anesthesia #Checklist
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... - Review the medication ... consider empiric treatment ... interruption (e.g ... #Delirium #Checklist
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 ... arrythmias Diagnostics: EKG ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Pneumothorax, Cardiac ... Dehydration Shock Treatment ... ) UOP > 0.5 cc/kg ... criticalcare #algorithm #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... β€’ Call for cardiac ... thoracotomy is a better treatment ... #Tamponade #Anesthesiology ... Intraoperative #Checklist