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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Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
β€’ If immediate evacuation ... until patient is stable ... β€’ Consider evacuation ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Failure to Thrive - Evaluation Checklist
 β€’ History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Failure to Thrive ... , 25-OH Vit D, ECG ... , CXR, ESR, CRP, ... PT, OT, Social work ... #Checklist #diagnosis
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulm edema, heart failure ... in particular) Evaluation ... : Imaging (CXR ... Infections #HIVAIDS #workup ... #diagnosis #evaluation
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 ... thoracotomy is a better treatment ... #Management #Workup
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
CVP, left heart failure ... fluid balance, and CXR ... with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(DAH) & renal failure ... mononeuritis multiplex WORKUP ... & DIAGNOSIS Labs ... recent DAN) β€’ EMG ... #management #treatment
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
surgery; equipment failure ... delegate task of evaluating ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
full infectious work-up ... days β†’ add fungal work-up ... hypotension, renal failure ... , pulmonary opacities ... Oncology #HemeOnc #Diagnosis
Pulmonary Histoplasmosis
Quick Facts on Histoplasma capsulatum:
 β€’ Dimorphic fungi, in yeast phase within the body
 β€’
Pulmonary Histoplasmosis ... , Sputum / BAL cx ... Serology, PCR Treatment ... echinocandins (e.g ... for respiratory failure