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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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Mechanical β†’ severe aortic ... into valve ring ... pneumothorax, cardiac ... Classification #Types #diagnosis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Mechanical β†’ severe aortic ... into valve ring ... pneumothorax, cardiac ... Classification #types #diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... regurgitation; PS, pulmonary ... MVP/MR, mitral valve ... regurgitation; AS, aortic ... #PhysicalExam #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... reservoir bag and APL valve ... Consider whether you could ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Decompensated CHF, Severe Valve ... β€’ Obstructive: Pulmonary ... Pneumothorax, Cardiac ... #criticalcare #algorithm
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 β€’ Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... carcinoid, Mets), COPD ... Goodpasture's, SLE Cardiac ... AVM, Thoracic aortic ... #pulmonary #causes
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity β€’ Cardiac ... (UPC) ratio β€’ Cardiac ... o infection β€’ Echocardiogram ... of PRS: Biopsy (gold ... Goodpasture's cause
Intracardiac Rhabdomyomas on Echocardiogram

Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Huge cardiac ... masses...initially ... diagnosed in utero ... just beneath the aortic ... valve Anguished
β–Ί
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
Intraoperative Hypoxia ... system including valves ... poor perfusion could ... o Aspiration, pulmonary ... #Checklist #Diagnosis