Dr. Gerald Diaz @GeraldMD
50.3M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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151 results
Rapid Titration of IV Naloxone for Opioid Overdose 
Signs of Opioid Overdose: 
 - Hypoventilation associated
Opioid Overdose Signs ... concerning symptoms or signs ... #Management #Algorithm ... Naloxone #Titration #Algorithm ... #Protocol
Diarrhea Differential Diagnosis Algorithm

Inflammatory
 - Infectious
   - Noninvasive
     - Viral
Differential Diagnosis Algorithm ... Bacterial - Protozoal ... Differential #Diagnosis #Algorithm ... Noninfectious #Causes
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... into meaningful clinical ... fails to achieve clinical ... Alternative causes ... #Protocol #PulmCrit
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... POCUS #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... POCUS #Evaluation #Protocol ... #Algorithm #High
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 โ†’ Direct pressure, silver nitrate for small laceration
 โ†’ Repair with
Hemorrhage Management Algorithm ... atony or unsure of cause ... Laparoscopy and Repair Clinical ... massive transfusion protocol ... Hemorrhage #Management #Algorithm
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... caused by a Retrosternal ... Elevating the arms causes ... #Pembertons #Sign ... #PhysicalExam #clinical
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Tree in Bud Sign
The Tree-in-Bud sign represents Endobronchial spread in a linear branching pattern and centrilobular
Tree in Bud Sign ... The Tree-in-Bud sign ... It is caused by ... Bud #TreeInBud #Sign ... #diagnosis #clinical
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Culture Collection Algorithm ... Algorithm Source ... unstable vital signs ... infections, whose clinical ... EmergencyDepartment #Protocol
Kussmaul's Sign on Physical Exam

Whatโ€™s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... with + Kussmaul sign ... Kussmaul's sign ... and other rarer causes ... #physicalexam #clinical
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