Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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
call it, β€œThink High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low ... #Hypovolemic #Distributive
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, β€œThink High ... or Think Low.” ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential ... Diagnosis SHOCK ... Lactate > 1.5 Distributive ... Classification #Differential ... #Diagnosis #Types
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... CO / Low SVR: ... β€’ Distributive: ... #algorithm #treatment
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... urinary losses: β€’ High ... consumption β€’ Low ... #Hypokalemia #diagnosis ... #Algorithm #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
areas, back of thigh ... /flank edema) Distributive ... - Low CO and therefore ... Classification #diagnosis ... #criticalcare #differential
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... - Bimodal Age Distribution ... B-Cell ~90% β€’ Low ... age range β€’ High ... #algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
areas, back of thigh ... /flank edema) Distributive ... - Low CO and therefore ... Classification #diagnosis ... #criticalcare #differential
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ 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 ... Pulse deficit/differential ... deficit β€’ Shock ... Aortic #Dissection #diagnosis