Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
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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58 results
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
and Inotropes - Pharmacology ... Summary Vasopressors ... first agent in shock ... β€’ Higher doses cause ... #Summary #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
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
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... has potential to cause ... β€’ Workup β€’ General ... #workup #pulmonary
Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
Bronchiectasis: diagnosis ... and management ... Causes of localized ... #workup #algorithm ... #pulmonary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... the underlying cause ... Syndrome #ARDS #Summary ... #CheatSheet #Diagnosis
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Salicylate Level: 150mg/kg
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... β€’ Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #Differential #Diagnosis ... algorithm #treatment #management