Dr. Gerald Diaz @GeraldMD
39.2M 14.2K 7.5K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Shock - Diagnosis and Management Summary
 โ€ข Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Diagnosis #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 โ€ข Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... drained if causing acute ... #HeartFailure #Cardiology ... #Management
Pulmonary Arterial Catheterization โ€“ Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... #Differential #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... Cold and Dry) โ€ข Pulmonary ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... objective assessmentโ€œ (e.g ... Summary #CheatSheet #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... 5) History of acute ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Salicylate Level: 150mg/kg