Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Pulmonary Histoplasmosis Syndromes
 - Acute
 - Subacute
 - Chronic
 - Progressive Disseminated

https://pubmed.ncbi.nlm.nih.gov/32000281/

#Pulmonary #Histoplasmosis #Syndromes #diagnosis #comparison
Pulmonary Histoplasmosis ... Syndromes - Acute ... Histoplasmosis #Syndromes ... #diagnosis #comparison ... #table
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Malabsorption (e.g ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... DIC - Septic shock ... #comparison #diagnosis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... anaphylaxis, release syndrome ... #table #comparison ... #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Summary #criticalcare
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Table #Causes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare #
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... #Differential #Table