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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13 results
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... the most likely cause ... recovery also causes ... #Homocysteine #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... unclear (often the case ... Insufficiency #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD Algorithm ... , Anemia β€’ Prevalence ... Crohn's > UC Anemia ... /other causes β€’ ... #diagnosis #management
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
epilepticus which may cause ... epilepticus may cause ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... Worsening macrocytic anemia ... wt loss β€’ If anemia ... total body stores Evaluation ... Deficiency #diagnosis #management
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... β€’ Discuss with endocrinology ... SIADH β€” look for cause ... hourly β€’ Identify Cause ... #algorithm #treatment
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
it should not cause ... dissociative drug, it causes ... amnesia and analgesia ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least 2
Cardiac Arrest Algorithm ... intra-arterial Reversible Causes ... acidosis), Hypo/hyper-kalemia ... cardiacarrest #Algorithm ... #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least
ACLS Circular Algorithm ... intra-arterial Reversible Causes ... acidosis), Hypo/hyper-kalemia ... cardiacarrest #Algorithm ... #AHA2020 #management