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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management cardiology diagnosis anesthesia anesthesiology workup intraoperative clinical differential electrocardiogram algorithm cardiomyopathy criticalcare syndrome bradycardia causes high hypertrophic hypokalemia potassium
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
Normal variant • Hypercalcemia ... Neurological insult • Medications ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Hyperkalemia EKG - K of 8.5 Here’s an #ECG of a man with ROSC after cardiac arrest Computer
Hyperkalemia EKG ... 8.5 Here’s an #ECG ... with ROSC after cardiac ... STEMI Burn this ECG ... #EKG #ECG #Electrocardiogram
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 ... Differential #Diagnosis #Table
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
life-threatening cardiac ... , changes on ECG ... , and Table 3 summarizes ... medications used ... #Management #Medications
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 Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... patients (including cardiac
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia Worry about hypokalemia; this patient had
Classic EKG triad ... this patient had cardiac ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Hyperkalemia with Peaked T waves on ECG These are the classic peaked T-waves of Hyperkalemia. Notice how
Peaked T waves on ECG ... to a baseline ECG ... Be able to recognize ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Yamaguchi cardiomyopathy on Electrocardiogram (EKG) That time when a doctor tells you that you're "having a heart
Electrocardiogram (EKG ... ECG has been stable ... Cardiac MR shows ... cardiomyopathy #ecg ... #ekg #electrocardiogram
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ECG changes, weakness ... injury, etc) ECG ... Calcium - Stabilizes cardiac ... not quickly) #Hyperkalemia
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
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