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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Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... Nephrology if cause ... Hematuria #Diagnosis #Algorithm ... #Workup #urology
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
β€’ If immediate evacuation ... β€’ Consider evacuation ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
using standard protocols ... thiopental or propofol ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... #Differential #Causes ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
urgent nephrology evaluation ... CONSIDER INTRINSIC CAUSES ... microscopy for WBCs ... , RBCs, casts, crystals ... KidneyInjury #simplified #workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Guidelines for Crises ... major haemorrhage protocol ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
How do you work ... A) Initial Evaluation ... β€’ ABCs β€’ IV ... #CVA #stroke #workup ... #diagnosis #checklist
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... team. ❼ Consider causes ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
The probable cause ... delegate task of evaluating ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic Evaluation ... Algorithm Step ... considered likely, the cause ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm