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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
demands Hypoxemia - low ... SvO2 β†’ Low PaO2 ... ANEMIC HYPOXIA ... blood loss) or abnormal ... summary #pulmonary #differential
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Anemia Diagnostic Algorithm

Mean corpuscular (cell) volume (MCV): Average RBC size. Under 80 = microcytic. Between 80-95
Anemia Diagnostic ... Algorithm Mean ... Normal range 11.5% ... Low in bone marrow ... substrate (e.g. iron), low
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses: β€’ Normal ... #Hypokalemia #Differential ... #Diagnosis #Algorithm
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... according to Blue Protocol ... Differential Bilat ... a lot of B lines ... but need to know how
β–Ί
Blood Disorders - Markers and Differential Diagnosis Algorithm 
Acute
 β€’ Myloid (AML) - CD13, CD33, CD34,
- Markers and Differential ... Diagnosis Algorithm ... Myelodysplastic Disorder - Abnormal ... Pelger-Huet, Macrocytic anemia ... #Diagnosis #Algorithm
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... Diagnosis Algorithm ... Hypercalcemia Low ... PTHrP: - Low ... #Diagnosis #Algorithm
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 β€’ Chronic Myocardial Injury: End
Elevated Troponin Differential ... Diagnosis and Workup Algorithm ... Inflammation β€’ Globally Abnormal ... Shock, Hypoxemia, Anemia ... #Diagnosis #Algorithm
Diagnostic Framework for Anemia (Morphological Approach - MCV)
Low MCV - <80fL - "Microcytic"
 β€’ Iron deficiency
Framework for Anemia ... Approach - MCV) Low ... thalassemia β€’ Anemia ... some patients) Normal ... morphologic #mcv #differential