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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Medications Used in Hypertensive Emergencies
Vasodilators: Hydralazine, Nitroglycerin, Sodium nitroprusside 
Calcium Channel Blockers: Clevidipine, Nicardipine
ß-Blockers: Esmolol, Labetalol,
Medications Used ... in Hypertensive ... Fenoldopam #Hypertensive ... #Medications #Management ... #Treatment #Pharmacology
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... hypertension Distributive ... pancreatitis β€’ Medication
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... Hypertension ... #Hypertension # ... Echocardiography #diagnosis #cardiology ... #echocardiogram
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Hypoxia β€’ Pulmonary ... hypertension ... β€’ Oxygen β€’ Treatment ... Tachycardia #MAT #Cardiology
Ischemic Stroke - Blood Pressure Management
 β€’ No tPA  < 220 / 120 (permissive hypertension)
120 (permissive hypertension ... BloodPressure #hypertension ... #Management #treatment ... #neurology #medications
Signs of Pulmonary Hypertension on Chest CT
 β€’ Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on ... @PulmPEEPs #Pulmonary ... #Hypertension # ... #cardiology #diagnosis
Prostanoid prescribing and management in Pulmonary Arterial Hypertension (PAH)
Oral Prostanoids:
 - Selexipag
 - Treprostinil
Inhaled Prostanoids
 -
management in Pulmonary ... Arterial Hypertension ... #prescribing #Pulmonary ... #Arterial #Hypertension ... Management #Algorithm #treatment
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
hypertension 1 ... hypertension? ... hypertension? ... #hypertension # ... cardiology
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 β€’ RV size - Enlarged
 β€’ LA
Echocardiography Pulmonary ... Artery Hypertension ... Venous Hypertension ... Differentiating #PAH #PVH #Echocardiogram ... comparison #diagnosis #cardiology
SNRls (Serotonin/Norepinephrine Reuptake Inhibitors) - FDA Approved Indications 

Venlafaxine (Effexor) - GAD, MDD, Panic Disorder, SAD
- FDA Approved Indications ... used for other indications ... purpose of these medications ... clinics is for treatment ... too if they have hypertension