Dr. Gerald Diaz @GeraldMD
51.7M 14.5K 7.6K
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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management ... #treatment
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
for Crises in Anaesthesia ... Treatment depends ... for crises in anaesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis - Guidelines ... for Crises in Anaesthesia ... and vasopressor therapy ... for crises in anaesthesia ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
for Crises in Anaesthesia ... anti-platelet therapy ... for crises in anaesthesia ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
for Crises in Anaesthesia ... thoracotomy is a better treatment ... for crises in anaesthesia ... Anesthesiology #Anesthesia ... #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
for Crises in Anaesthesia ... other, more common causes ... renal replacement therapy ... for crises in anaesthesia ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Anaphylaxis - Guidelines ... for Crises in Anaesthesia ... for crises in anaesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
for Crises in Anaesthesia ... remember to tailor treatment ... Consider known drug causes ... for crises in anaesthesia ... #Workup #Cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
for Crises in Anaesthesia ... remember to tailor treatment ... for crises in anaesthesia ... Checklist #Diagnosis #Management ... #Workup
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Avoid ARBs β€’ ICD ... investigative therapy ... e.g., <50%), ESC guidelines ... #cardiology #treatment