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
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
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
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... Hypertension ... Shah @HFpEF #Pulmonary ... #Hypertension # ... Echocardiography #diagnosis #cardiology
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 β€’ Receptors: Ξ²1
 β€’ Indications: Rate control of a-fib/a-flutter, Suppression
Receptors: Ξ²1 β€’ Indications ... Receptors: Ξ²1 β€’ Indications ... Stable angina, Hypertension ... : Hypertension ... Table #Receptors #cardiology