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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How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
How do you work ... Physical exam (complete ... Evaluate underlying cause ... #CVA #stroke #workup ... #diagnosis #checklist
Complex Pleural Effusion caused by Esophageal Perforation
So much pathology for one lung. Esophageal perforation leading to
Complex Pleural ... Effusion caused ... effusion. ... Complex effusion ... Perforation #lung #pocus
β–Ί
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... of blood, pus, effusion ... or iatrogenic causes ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... pressure as a cause ... rate, rhythm, perfusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... documented to be a complete ... ear (unexplained effusions ... pain, pleural effusion ... Nephrocalcinosis causes
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
chlorhexidine as cause ... as a possible cause ... an adrenaline infusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... surgery related cause ... rate, rhythm, perfusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Lung Empyema on POCUS
When your patient has 3 courses of antibiotics and is not improving you
Lung Empyema on POCUS ... patient has 3 courses ... Lung U/S shows complex ... effusion suspicious ... #complex #effusion
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Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... Stop or rapidly complete ... Guidelines for crises ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
hypercarbia as causes ... rate, rhythm, perfusion ... syndrome) β€’ Medical causes ... Intraoperative #Checklist ... Diagnosis #Management #Workup