Dr. Gerald Diaz @GeraldMD
34.5M 14.2K 7.5K
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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19 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Pediatric SVT - Management ... Algorithm Identify ... Monitors, Pads AP Stable ... Signs of shock or ... #Pediatric #treatment
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Syndrome (STSS) ... 50% in nec fasc Diagnostic ... #Syndrome #STSS ... #treatment #management ... #diagnosis
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
- Tumor lysis syndrome ... #Differential #Diagnosis ... #High #Magnesium ... #Table #Causes ... #Management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management ... #criticalcare #treatment
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Respiratory Alkalosis, High ... #management #Treatment
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... blockade S - Shock ... Hyperkalemia Typical ECG ... β€’ Aggressive treatment ... #diagnosis #management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... Spontaneous if high ... unless worrisome EKG ... #TLS #diagnosis ... #management #hematology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... as for septic shock ... abdominal compartment syndrome ... limit them as able ... Pancreatitis #Checklist #Diagnosis
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
β€’ Diagnosis: ... requires a high ... including DM β€’ Treatment ... #Emergencies #diagnosis ... #management #treatment