Dr. Gerald Diaz @GeraldMD
49.8M 14.4K 7.6K
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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Acute Pulmonary Embolism - Management Algorithms
 - Hemodynamically Stable Patients
 - Hemodynamically Unstable Patients

- Dr. Eric
Acute Pulmonary ... Embolism - Management ... Algorithms - ... Hemodynamically Stable ... #Embolism #acutePE
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Hemodynamics (Stable ... @nickmmark #Pulmonary ... #Embolism #Risk
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... Differential Diagnosis Algorithm ... embolism • Pulmonary ... Differential #Diagnosis #Algorithm ... #Causes
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis Algorithm ... valvulopathy • Pulmonary ... embolism • Left ... obstruction • Pulmonary ... #shock #causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Differential Diagnosis Algorithm ... Malignancy • Pulmonary ... embolism • Collagen ... #Hepatology #causes
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Fever -, Systemic embolism ... brain for cerebral emboli ... in up to 30% of cases ... #Endocarditis #comparison ... Marantic #diagnosis #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
exacerbation (any cause ... flow) - Massive pulmonary ... embolism - Pericardial ... Classification #Table
YEARS Algorithm for Pulmonary Embolism in Pregnancy

Using this protocol, PE was diagnosed in 4% of patients.
YEARS Algorithm ... for Pulmonary Embolism ... Using this protocol ... #YEARS #Algorithm ... #Pulmonary #Embolism
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... embolism 2) Understand ... diagnosis #management #comparison ... #table
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
Gastrointestinal: Diarrhea, Nausea ... vein thrombosis, Pulmonary ... embolism, Catheter-related ... ischemia, Acute cor ... pulmonale • Endocrine