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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differential causes treatment criticalcare nephrology shock cardiology hyponatremia summary abg acid acidbase aki ards b1 barre base bloodgas capsulatum cardiomyopathy
Medical Management of Acute RV Failure • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of Acute RV Failure ... [e.g. ... involving RV, Pulmonary ... Embolism] • Evaluate
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
GPA, IgA, MPA) Acute ... inflammation (e.g ... - Thrombus / Embolism ... Vessels (Heart failure ... #algorithm
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
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
- Differential Diagnosis ... HEMODYNAMIC • Cardiac failure ... vasoconstriction (e.g ... inhibitors, hepatorenal syndrome ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Congestive heart failure ... Uosm < 100 mmol/kg
Causes of Peripheral Edema - Differential Diagnosis Increased Hydrostatic Pressure • Volume Expansion: Kidney failure, Pregnancy, Medication
Medication side effect (e.g ... prednisone, NSAIDs), Acute ... , Pulmonary hypertension ... Cirrhosis, Nephrotic syndrome ... • Filariasis (e.g
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
Mechanism Renal Failure ... IV Mg infusion (e.g ... - Tumor lysis syndrome ... High #Magnesium #Table ... #Causes #Management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
if suspected (e.g ... causing heart failure ... with multiple embolic ... block (+/- daily EKG ... of infection (e.g
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Failure, Valvular ... embolism 2) Understand ... #inopressors #diagnosis ... #management #comparison ... #table
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