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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Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
blockers which cause ... #EKG #Pharmacology ... #Medications #Toxicology ... #Diagnosis #Differential ... #Drugs #Classes
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... Salicylate Level: 150mg/kg ... Aspirin #Toxicity #Toxicology ... #diagnosis #management
IDSA Recommendations for Treating Visceral and Cutaneous Leishmaniasis in HIV-AIDS
Treating Visceral Leishmaniasis - Preferred Therapy:
 β€’
IDSA Recommendations ... ., 4 mg/kg on days ... dose of 20–60 mg/kg ... Prevention #Treatment #management ... infections #HIVAIDS #pharmacology
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... dose: - 0.1 mg/kg ... search for other causes ... Naloxone #Narcan #Toxicology ... #Management #Pharmacology
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
and Inotropes - Pharmacology ... β€’ Higher doses cause ... cAMP/cGMP β€’ Causes ... Vasopressors #Inotropes #Pharmacology ... #Summary #management
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
hydroxybutyrate (GHB) - Toxicology ... Hydroxybutyrate #GHB #Toxicology ... #Toxicity #Diagnosis ... #Management #Pharmacology
Carbon Monoxide Poisoning

Symptoms are non-specific:
 - Headache 90%
 - Nausea/vomiting 50%
 - Vertigo 50%
 - Altered
Headache 90% - Nausea ... Subjective weakness 20% Diagnosis ... Monoxide #Poisoning #Toxicology ... #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... tube ❹ Rapid diagnosis ... β€’ Diagnostic ... Plan definitive management ... #Management #Workup
Hydroxychloroquine Serum Measurement in SLE
 β€’ Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
suspected) β€’ In case ... β€’ Special cases ... (e.g. renal failure ... #rheumatology #pharmacology ... levels #lupus #management
IDSA Recommendations for Preventing and Treating Penicillium marneffei Infections in HIV-AIDS
Preventing 1st Episode of Penicilliosis (Primary
IDSA Recommendations ... amphotericin B, 3 to 5 mg/kg ... Penicilliosis #IDSA ... Prevention #Treatment #management ... infections #HIVAIDS #pharmacology