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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Failure to Thrive - Evaluation Checklist
 β€’ History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Thrive - Evaluation Checklist ... , 25-OH Vit D, ECG ... , CXR, ESR, CRP, ... PT, OT, Social work ... #diagnosis
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
, hemoptysis Treatment ... β€’ Carbapenem (e.g ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... maintained fever CAUSES ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... β€’ Diagnostic ... thoracotomy is a better treatment ... Intraoperative #Checklist ... #Workup
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... has potential to cause ... #Management #treatment ... #workup #pulmonary
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... hemorrhage) - Pulmonary ... pathology (e.g. ... #Differential #Diagnosis ... #Table #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 ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
evaluation or workup ... 1,500 cells/Β΅L Workup ... glucocorticoid treatment ... signs or symptoms (eg ... #Differential #diagnosis
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
How do you work ... Evaluate underlying cause ... Cardioembolic: β€’ ECG ... #CVA #stroke #workup ... #diagnosis #checklist
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... recent DAN) β€’ EMG ... Goodpasture's cause ... hematuria, RBC casts ... #management #treatment