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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Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... ejection fraction; HFrEF ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
causes, aborted cardiac ... hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures β€’ ED Management ... Discharge with orthopedic ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury β€’ ED Management ... repair MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
follow-up with orthopedics ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture β€’ ED Management ... recommendations MH/CCF ... Dislocation #Posterior #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
β€’ If stable ... DC with orthopedic ... repair MH/CCF ... Forearm #Ulnar #Radiology ... #Orthopedics #Proximal
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation β€’ ED Management ... x-rays MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation - ED Management ... glenoid) β€’ ED Management ... I week MH/CCF ... Dislocation #Anterior #Radiology ... #Orthopedics #Sports
Inherited Arrhythmia Syndromes
Entity - Prevalence / Incidence - Diagnosis - Arrhythmic Presentation - Management
 β€’ Long
Presentation - Management ... β€’ Progressive Cardiac ... Normal Heart β€’ Short ... Syndromes #clinical #cardiology ... #table