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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Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
Vasopressors and Inotropes ... Preferred first agent ... β€’ Higher doses cause ... alpha-effect β€’ 1st agent ... cAMP/cGMP β€’ Causes
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Receptor, Heart Rate/Inotropy ... Resistance, Main Uses ... Effect #Management #Comparison ... #Inotropes
Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
Guide Osmotic agents ... Polyethylene glycol - Nausea ... #pharmacology #table ... #agents #internship ... #comparison
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 β€’ Acetaminophen (24 hours: < 3-4g in healthy
β€’ Neuropathic agents ... Equianalgesia Conversion Table ... Opioid #Conversion #Table ... #pharmacology #agents ... internship #guide #comparison
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
distinguishing between causes ... differential #diagnosis #comparison ... #table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... differential #diagnosis #table