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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Nail diseases and disorders.
 - Spoon Nails (Koilonychia)
 - Pitting of Nails
 - Beau's Lines
 -
Nails - Beau's Lines ... Fingernail #Disorders #Differential ... Irregularities #Beaus #Lines ... #Leukonychia #Table ... #Clinical #PhysicalExam
Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
site selection - Clinical ... @broomedocs #Management ... #CriticalCare # ... Catheters #CVC #Lines
Nail Findings & Associated Conditions
Change in color, texture, or shape can be harmless, but may suggest
β€’ Muehrcke's Lines ... Melanoma β€’ Terry's Lines ... fingernail #pathology #differential ... dermatology #nails #table ... #lines
ETT depth may be predicted based on the patient’s height.  This has been validated among
by attaching a table ... This table may simultaneously ... #Management #CriticalCare ... #TidalVolumes #Table
Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
NIH NHLBI ARDS Clinical ... Network #Management ... #CriticalCare #
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
POCUS: numerous B-lines ... , pleural line thickening ... Cheatsheet #Diagnosis #Management ... #Coronavirus #CriticalCare
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Internet Book of Critical ... Vasopressors #Properties #Table ... Pharmacology #Effect #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Start Algorithm - Management ... If patient is stable ... methadone as first-line ... dosing TID/QID #Management
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
guidelines, the first-line ... treatment for stable ... to treat of 3 #Management
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
infections, whose clinical ... indwelling catheters or lines ... #Management #BloodCultures