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 Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death

Findings
Pulmonary Embolism ... Ratios for the ECG ... Meta‐analysis #ECG ... #EKG #Findings ... #Pulmonary #Embolism
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... stratification #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... flow) - Massive pulmonary ... embolism - Pericardial ... Classification #Table ... #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... #diagnosis #differential ... guyton #curves #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Embolism, Tension ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare #
Differential Diagnosis of Wheezing
 • Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Differential Diagnosis ... Intrathoracic, upper airway ... Parasitic infection (e.g ... Churg-Strauss syndrome ... #Causes #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Circulatory embolus ... o Aspiration, pulmonary ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
• Confirm airway ... obtain 12-lead ECG ... ); circulatory embolus ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
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
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... with multiple embolic ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management