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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diagnosis hypokalemia low potassium differential management nephrology abdomen associated emergencies endocrinology hemeonc hypercalcemia hypovolemic oncologic oncology pocus polymorphic shock tdp
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Hypovolemic #Distributive
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... urinary losses: • High ... ↑ Aldosterone: Malignant
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... Hyperaldosteronism: malignant ... Gitelman's syndrome #Hypokalemia ... #nephrology #causes
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Syndrome • HTN, High ... Aldosterone: Malignant ... #causes #potassium
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... for malignancy-associated ... Calcitonin Refractory Cases ... or Denosumab #malignancy ... #Treatment #algorithm
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Algorithm • Treat ... the cause & optimize ... • Reconsider treatment ... #treatment #potassium ... #high
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation begins ... warranting urgent treatment ... Most cases of hypokalemia-induced ... Identification and treatment ... #Evaluation #Algorithm
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 Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... , sotalol) • Propofol ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy: ... → no immediate treatment ... after CRS) - Treatment
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