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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31 results
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Multifocal Atrial ... β€’ Hypoxia β€’ Pulmonary ... β€’ Oxygen β€’ Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... #Management #treatment ... #workup #pulmonary ... #criticalcare
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
↓SpO2 β€’ High work ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... limit them as able ... #Pancreatitis #Checklist ... #Diagnosis #Management ... #CriticalCare
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #criticalcare # ... treatment #workup
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... β€’ Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare # ... #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... & DIAGNOSIS Labs ... recent DAN) β€’ EMG ... blood retum in serial ... #management #treatment
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... /management of shock ... will also get an EKG ... #diagnosis #workup ... #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -Serial evaluation ... the patient's diagnosis ... (e.g. pneumonia ... #Management #CriticalCare
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