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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Hydroxychloroquine Serum Measurement in SLE
 β€’ Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
intake) β€’ Target blood ... Insufficient blood ... (e.g. renal failure ... #pharmacology # ... levels #lupus #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
β€’ Intracranial blood ... #Differential #Causes ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
β€’ Peripheral blood ... for secondary causes ... signs or symptoms (eg ... #Differential #diagnosis ... #hematology #eosinophilia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
accumulation of blood ... β€’ Diagnostic ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cultures if possible (eg ... Discuss ongoing management ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
perfusion, recheck blood ... and positioning (e.g ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... over 2 h (>65 kg ... Tell surgeon to flood ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
check arterial blood ... gas, 12-lead ECG ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
❻ If systolic blood ... -10 ml clotted blood ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... invasive arterial blood ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup