Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
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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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... shock #Checklist ... #HeartFailure #Cardiology
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 ... Unstable/cardiogenic ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
hypersensitivity Cardiogenic ... depletion - Medication ... side effect (e.g ... Alcohol blackout - Medication ... Classification #Table
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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... High SVR: • Cardiogenic ... Dehydration Shock Treatment ... ) UOP > 0.5 cc/kg ... criticalcare #algorithm #treatment
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
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
wall STEMI, in Cardiogenic ... shock, ECG predicted ... established, but died on table ... CathLab #clinical #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia #Checklist
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... Minority of Pts: cardiogenic ... during Delivery • Stable ... diagnosis #management #cardiology ... #treatment