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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cardiology differential management anesthesia anesthesiology electrocardiogram workup equivalents intraoperative stemi abdominal anaphylaxis avnrt awaves bradycardia cannon cardiac causes colon frog
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis: • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... • infection (e.g ... colitis) • bowel ischemia ... Colon #Thumbprint #Sign ... #radiology #KUB
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Diagnosis #Management
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
- Brugada's sign ... - Josephson's sign ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain • ECG ... Connect ECG Leads ... #bradycardia #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... ’s called Frog sign ... Awaves #AVNRT #PhysicalExam ... #Neck #Frog #Sign
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 Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... hyperthermia crisis (late sign ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management
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