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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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Evaluation Guide ... UCSF COVID-19 ID ... UCSF #COVID19 #Evaluation ... #Guide #Diagnosis ... #Algorithm #Protocol
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Society of Critical ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
-19 Initial evaluation ... diagnostics as clinically ... Internet Book of Critical ... iBookCC #COVID19 #algorithm ... #schema #Diagnosis
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... Internet Book of Critical ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
- Myocardial ischemia ... pomagnesemia Evaluation ... incongruous with clinical ... Internet Book of Critical ... Hypokalemia #Management #CriticalCare
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
Tracheal Airway POCUS prior to anticipated difficult airway
1. ID cricothyroid membrane evaluation
2. Confirm tracheal intubation
3. Detect
ID cricothyroid ... membrane evaluation ... POCUS #trachea #clinical ... ultrasound #intubation #criticalcare
β–Ί
General Approach to Anemia - Differential Diagnosis Framework
1) Check reticulocyte count to determine if hypo/hyper-proliferative
2) Exclude
) 3) Use MCV & clinical ... context to guide ... further evaluation ... diagnosis #hematology #algorithm
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Internet Book of Critical ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Approach to using the perfusion scan in Brain Death Evaluation

Like any diagnostic test, a flow scan
in Brain Death Evaluation ... in the correct clinical ... #Diagnosis #CriticalCare ... Perfusion #Scan #Algorithm