Dr. Gerald Diaz @GeraldMD
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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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11 results
Failure to Thrive - Evaluation Checklist
 β€’ History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
, 25-OH Vit D, ECG ... , CXR, ESR, CRP, ... PT, OT, Social work ... BrighamMedRes #FTT ... #diagnosis
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... Non-intubated: Low-fat ... limit them as able ... #Pancreatitis #Checklist ... #Diagnosis #Management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
list here, ie hyponatremia ... /management of shock ... will also get an EKG ... and CXR ... #diagnosis #workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus, fat ... over 2 h (>65 kg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
β€’ Check ECG rhythm ... Embolism, gas/fat ... CardiacArrest #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... circulatory embolus, gas/fat ... 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
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
obstructing the airway, e.g ... negative-pressure pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup