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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Functional GI Disorders in IBD - IBD Algorithm

Background:
 β€’ 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... Gastrointestinal #Disorders #IBS ... #IBDAlgorithm # ... IBD #Algorithm #
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound (IUS ... ) in IBD - IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +
Priority-based management algorithm ... Cardiac POCUS 3 ... A-line placement - POCUS ... Start vasopressor infusion ... activity #management #criticalcare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... draining pleural effusions ... Optimize Nutrition β€” feeding ... Weaning #Ventilator #Algorithm ... #Extubation #CriticalCare
Molar Pregnancy on Transabdominal Pelvic Ultrasound

"20 yo F presents with suprapubic abd tenderness and mild vaginal
with suprapubic abd ... and mild vaginal bleeding ... Urine HCG is NEGATIVE ... : When the HCG is ... Pregnancy #Clinical #POCUS
β–Ί
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Obstructive shock is ... massive pericardial effusion ... Tamponade: pericardial effusion ... external fluid loss leading ... Pathophysiology #Comparison #criticalcare
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... 50mcg bolus -> infusion ... once hemostasis is ... - Refractory Bleeding ... diagnosis #management #algorithm
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
and no apparent focus ... ascites, pleural effusion ... , pericardial effusion ... Severe bleeding: ... or ALT > 1000 IU
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
- Catastrophic Bleeding ... Binder) β€’ Use POCUS ... cap refill, ↓ BP is ... 15 mg/kg/hr IV infusion ... β€’ Vaspressor infusion
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 β€’ Obturator - inserted into
inner diameter (ID ... The ID and OD sizes ... OBSTRUCTION, and BLEEDING ... ): - Early bleeding ... management #pulmonary #criticalcare