Dr. Gerald Diaz @GeraldMD
23.5M 13.8K 7.2K
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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Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... hemorrhage) - Pulmonary ... #Differential #Diagnosis ... #Table #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... β€’ Drugs β€’ Pulmonary ... Uosm < 100 mmol/kg ... #Algorithm #Causes
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Acute Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... β€’ Diagnostic ... Intraoperative #Checklist ... #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
thromboembolism β†’ Cardiac ... β€’ Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis ... #algorithm #hematology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis β†’ 3-14 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... list here, ie hyponatremia ... will also get an EKG ... and CXR ... #diagnosis #workup
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity β€’ Cardiac ... mononeuritis multiplex WORKUP ... (UPC) ratio β€’ Cardiac ... recent DAN) β€’ EMG ... Goodpasture's cause