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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Gadolinium Enhancement Patterns in Ischemic and Non-Ischemic Cardiomyopathies
Ischemic:
 β€’ Subendocardial Infarct
 β€’ Transmural Infarct
Non-Ischemic:
 β€’ Mid-wall
e.g.congenital heart ... disease, pulmonary ... sclerosis, post-cardiac ... #diagnosis #cardiology ... #radiology
Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 β€’
Right Heart Cath ... - Normal Cardiac ... #Cath #Cardiac ... #Pressures #RHC ... #cardiology #diagnosis
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
Interpreting Right Heart ... Always interpret a RHC ... What is the cardiac ... #diagnosis #pulmonary ... #hypertension #cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
regurgitation; PS, pulmonary ... hypertrophic obstructive cardiomyopathy ... Murmurs #Maneuvers #Heart ... #Cardiology #PhysicalExam ... #Diagnosis
Causes of Palpitations
 β€’ ARRHYTHMiA 
 β€’ SINUS ARRYTHMIA 
 β€’ ATRIAL FIBRILLATION 
 β€’ ATRIAL
FAILURE β€’ CARDIOMYOPATHY ... SYPATHOMIMETICS β€’ CARDIAC ... PHAEOCHROMOCYTOMA β€’ PULMONARY ... #Differential #Diagnosis ... #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... inability of the right heart ... constriction, restrictive cardiomyopathy ... of right-sided HF ... Kussmauls #Sign #physicalexam
β–Ί
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... decompensated heart ... pneumothorax, cardiac ... Classification #Types #diagnosis ... warm #wet #dry #table
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
Right Heart Catheterization ... PCWP]/CO) ● Cardiac ... /m2) (SVI = CI/heart ... Visualmed #RHC ... Interpretation #Diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
β€’ Pulmonary embolus ... May have typical HF ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #cardiology #treatment
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... , severe right heart ... Absent y descent - Cardiac ... #PhysicalExam # ... cardiology