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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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... -19 Initial evaluation ... Nasopharyngeal PCR for COVID ... diagnostics as clinically ... #algorithm #schema
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Clinical Evaluation ... -19 ID Clinical ... #Evaluation #Guide ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Society of Critical ... respiratory #support #COVID19 ... #management #schema ... hypoxia #failure #algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... Internet Book of Critical ... #management #schema ... hypoxia #failure #algorithm
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... Internet Book of Critical ... anticoagulation #COVID19 ... #management #schema ... #criticalcare #algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... hypoxia and organ ischemia ... papillae of tongue), abd ... diarrhea related to IBD ... total body stores Evaluation
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
anticoagulation in COVID ... Internet Book of Critical ... anticoagulation #COVID19 ... #management #schema ... #criticalcare #algorithm