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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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... hypertension. ... hypertension; CXR ... #Diagnosis #Peds ... Workup #Algorithm
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
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... as patient is stable ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Hypotension - Guidelines ... Hypotension ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... tube ❹ Rapid diagnosis ... β€’ Diagnostic ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... abnormalities (hypo- or hypertension ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Signs: hypotension ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
without other cause ... fluid balance, and CXR ... with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... likely underlying cause ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup