Dr. Gerald Diaz @GeraldMD
51.8M 14.5K 7.6K
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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Cardiac Transplant Complications Timeline
First 30 days: Primary Graft failure
6 mo-1 year: Opportunistic infections
1-5 years: Acute allograft
Cardiac Transplant ... failure 6 mo-1 year: Opportunistic ... infections 1-5 ... BrighamMedRes #Cardiac ... Heart #allograft #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

β€œMother of all coronary thrombi”.  55 year old
Cardiogenic shock, ECG ... Primary PCI, first injection ... established, but died on table ... CathLab #clinical #cardiology
β–Ί
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
Cardiac Stress Testing ... β€’ They must be able ... arrythmias Diagnostics: EKG ... COREIMpodcast #Cardiac ... Stress #Testing #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
low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
IDSA Recommendations for Treating Mucosal Candidiasis in HIV-AIDS
Oropharyngeal Candidiasis: Initial Episodes (Duration of Therapy: 7–14 days)
Preferred
mucoadhesive buccal tablet ... chew, or crush tablet ... #management #opportunistic ... #infections #HIVAIDS ... #pharmacology
IDSA Recommendations for Treating Visceral and Cutaneous Leishmaniasis in HIV-AIDS
Treating Visceral Leishmaniasis - Preferred Therapy:
 β€’
interrupted schedule (e.g ... Leishmaniasis #Prevention #Treatment ... #management #opportunistic ... #infections #HIVAIDS ... #pharmacology
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 ... hypertrophic #clinical #cardiology
Class I Antiarrhythmics and their Key Pharmacologic Properties

Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer")
Class IB
and their Key Pharmacologic ... fast-response cardiac ... in wide QRS on EKG ... Antiarrhythmics #Pharmacology ... #Agents #Cardiology