Dr. Gerald Diaz @GeraldMD
34.5M 14.2K 7.5K
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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32 results
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... >> Acute PE, Tension ... #Diagnosis #Management ... #criticalcare #treatment
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ 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 ... drained if causing acute ... Revascularization, treatment ... for acute MI if ... HeartFailure #Cardiology #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... Sepsis (β†’ 3-14) e.g ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... β€’ Obstructive: Pulmonary ... Treatment Goals ... ) UOP > 0.5 cc/kg ... #management
Pulmonary Arterial Catheterization – 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
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... β€’ Workup β€’ General ... #Management #treatment ... #workup #pulmonary
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... Cold and Dry) β€’ Pulmonary ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
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 ... #management #Treatment
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology