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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14 results
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
1) Ask for vitals ... Examine for a cause ... Obstructive 4) Diagnosis ... #criticalcare # ... Shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Treatment Goals ... ) UOP > 0.5 cc/kg ... #criticalcare # ... #management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #Summary #criticalcare ... #treatment #workup
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
GAS in 30% of cases ... 50% in nec fasc Diagnostic ... necrosis STSS Treatment ... Syndrome #STSS #treatment ... #management #diagnosis
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... Pulmonary edema, Shock ... Salicylate Level: 150mg/kg ... #management #Treatment
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... has potential to cause ... #Management #treatment ... workup #pulmonary #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... organ dysfunction caused ... infection SEPTIC SHOCK ... recognition and treatment ... #SIRS #criticalcare