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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pocus treatment abdomen aortic asymptomatic b12 cardiogenic chest clinical cobalamin coronavirus covid19 criticalcare deficiency differential dissection distributive gastroenterology guide handlebar
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
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... Lactate > 1.5 High ... CO / Low SVR: ... #criticalcare #algorithm ... #treatment #management
Asymptomatic Ileitis - IBD Algorithm • Found on 0.1-21% of non-diagnostic colonoscopies • Low likelihood of
0.1-21% of non-diagnostic ... colonoscopies • Low ... Asymptomatic #Ileitis #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... consider other diagnosis ... #management #nutrition
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... normal, can be low ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... Assess for high ... deficit • Shock ... Aortic #Dissection #diagnosis ... #management #vascular
HBV Reactivation Risk in IBD on Immunosuppression Algorithm Risk of Reactivation High Risk: >10% Risk • HBsAg+ /
Reactivation Risk in IBD ... dose steroids Low ... and short term low ... Reactivation #risk #IBD ... #diagnosis #management
Strongyloidiasis Treatment Asymptomatic ± eosinophilia (Very low risk): • Diagnostic: Serology, Stool Ova and parasites (O&P) examination
eosinophilia (Very low ... days apart Simple intestinal ... strongyloidiasis (Low ... PLUS 400 mg po BID ... strongyloidiasis (High
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... is sent to CT abd ... and hemorrhagic shock ... and/or delayed diagnosis ... consultation, evaluation
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