Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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18 results
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... Management? ... Echocardiogram #ultrasound ... #Cardiology #PLAX ... #clinical
Accessory Breast Tissue on POCUS
Painful axillary swelling. Recent vaginal delivery. Concern for soft tissue infection. POCUS
POCUS done. ... Diagnosis? ... .13.10930 Conservative management ... in this case. ... #clinical #ultrasound
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
plan between surgical ... interventional radiology ... an appropriate clinical ... Intraoperative #Checklist ... #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Plan for repeat ... feasible (Box B). ⓭ Plan ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Finger deformity caused ... Hyperflexion injury with axial ... Mallet #Finger #Radiology ... #XRay #Diagnosis
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Plan to ensure ... hypnosis as soon as clinical ... Haemorrhage. ❼ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
packing in groin, axillae ... see Box D). ⓭ Plan ... admission to critical ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Other drugs at clinician ... X-ray as soon as clinically ... safe to do so. ⓮ Plan ... Intraoperative #Checklist ... #Diagnosis #Management