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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table ... Symptoms #Findings #Comparison
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - POCUS ... evaluation in shock ... an ultrasound evaluation ... failure Includes evaluation ... #Algorithm
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
diagnostic evaluation ... peripheral or central ... peripheral or central ... #Differential # ... Evaluation
β–Ί
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
Maculopapular Rashes - THE ALGORITHMIC ... macule and papule (Table ... require emergent evaluation ... Maculopapular #Rash #Algorithm ... #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... emphysema: no walls, central ... Cystic #Cysts #Differential ... #Comparison #Table
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... Pulse deficit/differential ... deficit β€’ Shock ... HR and BP: β€’ Control ... i.v. opiates β€’ Control
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management checklist Evaluation ... as for septic shock ... Intubated: Initiate enteral ... Pain control - ... limit them as able