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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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... look for focal a-lines ... diagnostics as clinically ... #algorithm #schema ... #Diagnosis #SARSCoV2
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
Management of interstitial ... Therapeutic indication ... systemicsclerosis #SSc #pulmonary ... #indications #management ... #treatment #algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... Consider Indication ... Society of Critical ... hypoxia #failure #algorithm
Hydroxychloroquine and Chloroquine in COVID19

Dosing:
Hydroxychloroquine:
 - 400mg PO BID on the first day, followed by 200mg
Chloroquine in COVID19 ... BWH): - Second line ... #Chloroquine #COVID19 ... #Pharmacology #Management ... #Medications
COVID-19 Lung POCUS 

This is a POCUS of a patient with COVID-19.
No prior pulmonary disease; had
COVID-19 Lung POCUS ... a patient with COVID ... No prior pulmonary ... POCUS #Subpleural #Clinical ... Lung #Ultrasound #SARSCoV2
β–Ί
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
the Treatment of COVID ... highlighted circle= clinical ... smfarmhosp_smfh #Drugs #Medications ... #Treatment #COVID19 ... Pharmacology #Table #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... Proning is a front-line ... Internet Book of Critical ... #management #schema ... hypoxia #failure #algorithm
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... Internet Book of Critical ... Intubation #Checklist #SARSCoV2 ... #Management #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... β€’ Obstructive: Pulmonary ... #criticalcare #algorithm ... #treatment #management
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Algorithm Source ... infections, whose clinical ... indwelling catheters or lines ... #Management #BloodCultures ... Protocol #Shapiro #Indications