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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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... objective assessment“ (e.g ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Dysfunction #Grading #Classification ... Grades #Criteria #Table
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 by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
by Classification ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... #Table #Causes
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
septic shock (e.g ... resuscitation (e.g ... abdominal compartment syndrome ... choledolithiasis (e.g ... #Management #CriticalCare
Urine Microscopy Crystals
Uric Acid crystals:
 - Formation promoted by acidic urine
 - Seen in tumor lysis
in tumor lysis syndrome ... urease-producing organisms (e.g ... acidic urine - Diagnostic ... Microscopy #Crystals #comparison ... #table #urinalysis
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
- Differential Diagnosis ... Artificial sweeteners (e.g ... Infectious: • Viral: AIDS ... #Differential #Diagnosis ... #inflammatory #classification
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... cardiomyopathy • Pulmonary ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Respiratory Distress Syndrome ... (ARDS) Chest ... objective assessment (eg ... >= 5cm H2O #Diagnosis ... #CriticalCare #
Hyperthermic Toxidromes
Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures.
 • Sympathomimetic -
• Serotonin Syndrome ... dopamine blockers (e.g ... dopamine agonists (e.g ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis