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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8 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare #
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... as a result of capillary ... 50% in nec fasc Diagnostic ... #Syndrome #STSS ... #diagnosis
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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Summary #criticalcare ... #treatment #workup
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential ... guyton #curves #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
as for septic shock ... abdominal compartment syndrome ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
Clarkson’s Disease - Capillary ... filling +++ (risk of pulmonary ... ) • IVIg 2 g/kg ... Clarksons #Disease #Capillary ... #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... Pts: cardiogenic shock ... during Delivery • Stable ... management #cardiology #treatment