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 ... testing; CTEPH, chronic ... hypertension; CXR ... #Diagnosis #Peds ... Workup #Algorithm
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... - Differential Diagnosis ... Pulmonary/Chest ... Pleural effusion, Pulmonary ... CHF, Hypertensive
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
And Proteinuria (e.g ... insufficiency (Cr ... ), pulmonary edema ... or eclampsia Chronic ... patients with chronic
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 β€’ Volume Expansion: Kidney failure, Pregnancy, Medication
- Differential Diagnosis ... prednisone, NSAIDs), Acute ... Heart failure, Pulmonary ... hypertension, Cirrhosis ... vein thrombosis, Chronic
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... as patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
without tonic-clonic ... therapies to treat hypotension ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... cardiogenic shock (eg ... , acute valvular ... artery hypertension ... #Differential #Table
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Management Summary β€’ Hypotension ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
At least 3 of (Acute ... fluid balance, and CXR ... with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Pulmonary Histoplasmosis
Quick Facts on Histoplasma capsulatum:
 β€’ Dimorphic fungi, in yeast phase within the body
 β€’
Pulmonary Histoplasmosis ... , Sputum / BAL cx ... echinocandins (e.g ... Duration depends on acute ... or chronic disease