Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential management anesthesia anesthesiology intraoperative nephrology acth adrenal bloodloss cardiacarrest classification comparison cva disorders druginduced electricity endocrinology eosinophil eosinophilia failure
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Algorithm INDICATIONS ... during medical evaluation ... or workup for specific ... 1,500 cells/µL Workup ... #Differential #diagnosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... from other causes ... suggests extra-renal causes ... consumption • Low ... #Hypokalemia #diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Algorithm - Evaluation ... unclear (often the case ... then go to stim testing ... primary AI - Low ... #Algorithm #ACTH
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... A) Initial Evaluation ... Evaluate underlying cause ... #CVA #stroke #workup ... #diagnosis #checklist
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Familial renal Mg wasting ... #Differential #Diagnosis ... #Low #Magnesium ... #Table #Classification ... #Causes #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
point of care testing ... • Use lab testing ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
• If immediate evacuation ... until patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... in >90% - Low ... 60-80% - Low ... sle #comparison #table ... #rheumatology #diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
delegate task of evaluating ... Increase fresh gas flow ... CardiacArrest #Checklist ... #Diagnosis #Management ... #Workup
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 ... Cerebral Salt Wasting ... #differential #diagnosis ... #table #sodium
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