Dr. Gerald Diaz @GeraldMD
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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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18 results
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Monitor closely short ... Society of Critical ... #criticalcare # ... hypoxia #failure #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... with possible COVID ... as clinically indicated ... (e.g. echocardiogram ... #algorithm #schema
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... Internet Book of Critical ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Prognostication based on scores ... and clinical features ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... performed) β€’ Clinical ... Cardiovascular MRI Clinical ... Abnormal ECG, echocardiogram ... #Management #Cardiology
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
UCSF COVID-19 Adult ... Clinical Evaluation ... multiple case reports ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology ... #PLAX #clinical
β–Ί
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
-19 The diagnosis ... Internet Book of Critical ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... on exhalation port ... Internet Book of Critical ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≀6 months old on day β‰₯7
if they have no clinical ... purposes of this algorithm ... effusion, or z scores ... those >day 10 with clinical ... #Diagnosis #Peds