Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis management anesthesia anesthesiology intraoperative differential endocrinology shock abdomen acth adrenal airway block bloodloss bradycardia calcium cardiacarrest cardiogenic cardiology central
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... or Think Low.” ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... or Think Low.” ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
DKA Resuscitation Checklist - Diagnostic evaluation - Crystalloid - Electrolyte repletion - High-flow
Resuscitation Checklist ... - Diagnostic evaluation ... repletion - High-flow ... patient has elevated work ... Ketoacidosis #DKA #Checklist
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... PTH - Frankly high ... FeCa <1 %) - Low ... #workup
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Function Tests in the Evaluation ... Hyperthyroidism: Work-up ... • Low TSH, high ... or normal TSH, high ... Hyperthyroidism #algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... urinary losses: • High ... consumption • Low
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... A) Initial Evaluation ... • TTE +/- TEE (high ... #CVA #stroke #workup ... #diagnosis #checklist
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... unclear (often the case ... Measure ACTH: - High ... primary AI - Low
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Increase fresh gas flow ... • Exclude high ... Pneumothorax and/or high ... Intraoperative #Checklist ... Diagnosis #Management #Workup
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... Cardiac: multiple case ... normal, can be low ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
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