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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29 results
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... #Management #treatment ... #workup #pulmonary ... #criticalcare
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 β€’ Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... and Management - IDSA ... Echinocandins (e.g ... or TEE unless clinical ... #candidiasis #treatment
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 ... Management #Summary #criticalcare ... #treatment #workup
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... on scores and clinical ... Hemodynamics (Stable ... prognostication #diagnosis ... stratification #criticalcare
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
most common) Clinical ... , hemoptysis Treatment ... β€’ Carbapenem (e.g ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... β€’ Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare # ... algorithm #treatment
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
endocarditis w/ septic pulmonary ... block (+/- daily EKG ... Internet Book of Critical ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... will also get an EKG ... is never a bad idea ... Pearls #Checklist #diagnosis ... #workup #criticalcare
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 ... #differential #diagnosis ... #management #treatment
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 β€’
Related Disease Clinical ... with response to treatment ... IgG4+ cells" Treatment ... Glucocorticoids (0.6 mg/kg ... management #phenotypes #workup