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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Checklist Approach to Undifferentiated Shock / Hypotension

#Checklist #Undifferentiated #Shock #Hypotension #Diagnosis #Workup #Management #Evaluation
Checklist Approach ... Undifferentiated Shock ... Hypotension #Checklist ... #Hypotension #Diagnosis ... #Workup #Management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... #Diagnosis #Management ... #criticalcare #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... , Severe Valve Disease ... β€’ Obstructive: Pulmonary ... Treatment Goals ... #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Revascularization, treatment ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Failure, Valvular Disease ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
of invasive GAS disease ... 50% in nec fasc Diagnostic ... necrosis STSS Treatment ... BIDMC Infectious Diseases ... #management #diagnosis
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
to chronic lung disease ... 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 ... β€’ Workup β€’ General ... Massive #Hemoptysis #Diagnosis ... #Management #treatment ... #workup #pulmonary
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Differential Diaqnoses ... hepatitis β€’ Pulmonary ... #diagnosis #management ... #treatment #rheumatology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
Presentation: β€’ Mild disease ... failure β€’ Severe pulmonary ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management