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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34 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Mechanical Defect (papillary ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... as a result of capillary ... GAS in 30% of cases ... #treatment #management ... #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... oxygen across capillary-alveolar ... hepatopulmonary syndrome ... #Differential #Diagnosis
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... as for septic shock ... abdominal compartment syndrome ... limit them as able ... #Diagnosis #Management
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 ... capillary wedge ... #Differential #Table
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 • Volume Expansion: Kidney failure, Pregnancy, Medication
Causes of Peripheral ... - Differential Diagnosis ... Heart failure, Pulmonary ... Cirrhosis, Nephrotic syndrome ... Increased Capillary
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Subclavian steal syndrome ... Classification #Table ... #Causes
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... ) or septic shock ... cultures if possible (eg ... #Checklist #Diagnosis ... #Management #Workup
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... - Cirrhosis Syndrome ... hemorrhage) - Pulmonary ... #Differential #Diagnosis ... #Table #Causes