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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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
 -
β€’ Obstructive: Pulmonary ... Embolism, Tension ... 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 ... (eg, acute valvular ... #Differential #Table ... #Chambers #Wedge
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... embolus SHUNT ... Intrapulmonary shunting (eg ... intracardiac shunting (eg
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
as for septic shock ... (e.g. moderate ... resuscitation (e.g ... abdominal compartment syndrome ... choledolithiasis (e.g
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... congestion with hypoxemia ... objective assessmentβ€œ (e.g ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
blood gas, 12-lead ECG ... o Circulatory embolism ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis ... Management #Workup #anesthesia
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
Exchange Problems: β€’ HYPOXEMIA ... CO2 production (e.g ... POST-CANNULATION SYNDROME ... Troubleshooting #problems #diagnosis ... differential #management #criticalcare
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... embolus 3. ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g