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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criticalcare checklist differential treatment anesthesia anesthesiology intraoperative pulmonary cardiology lupus pharmacology renal rheumatology sle vasopressors admissions admitting alcohol anaphylaxis bronchiectasis
Summary Table of how the 4 types of shock affect the circulatory system: - Hypovolemic
Summary Table of ... the 4 types of shock ... Obstructive #Diagnosis ... #Management #Types ... #Shock #Comparison
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Summary • Hypotension ... and Survey 4) Workup ... #Diagnosis #Management
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare #summary ... #comparison #table
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... Obstructive 4) Diagnosis ... and Workup 5) ... #criticalcare #Shock
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... #inopressors #diagnosis ... #management #comparison ... #table
Summary of Coagulation Deficiencies Inherited: • Hemophilia A - Deficiency of Factor VIII • Hemophilia B -
Summary of Coagulation ... Acute DIC - Septic shock ... #Deficiencies #Summary ... #table #comparison ... #diagnosis #hematology
Bronchiectasis: diagnosis and management Causes of localized -> diffuse bronchiectasis Foreign body, Bronchial stenosis (tumor, .. ),
Bronchiectasis: diagnosis ... and management ... Causes of localized ... Bronchiectasis #diagnosis ... #workup #algorithm
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE) - Diagnosis ... Summary • Epidemiology ... • Immunologic Workup ... Positive in 60-80% of cases ... #Management #Summary
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Troponin Differential Diagnosis ... and Workup Algorithm ... Pre-Coronarv): Shock ... Occlusion • Stable ... #Algorithm
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... uw_IMresidency #Shock ... #table #comparison
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