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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Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
Management of patients ... (IPC)–related infection ... care (intravenous antibiotics ... Effusions #MPE #Algorithm ... #Management #ATS
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - Differential ... culture 3) Empiric antibiotics ... Acute #Diarrhea #Differential ... NonInfectious #Algorithm ... #gastroenterology
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Culture Collection Algorithm ... Algorithm Source ... General Guidelines ... obtained prior to antibiotic ... #Management #BloodCultures
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
endocarditis w/ septic pulmonary ... for metastatic infection ... course β€’ Adjust antibiotics ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
host response to infection ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare # ... differential
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... if symptoms of infection ... main ones) - Antibiotics ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Refractory Helicobacter Pylori Infection

Causes:
 β€’ Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 β€’ Non-adherence (i.e.
Helicobacter Pylori Infection ... Causes: β€’ Antibiotic ... resistance (i.e. prior antibiotic ... HPylori #diagnosis #management ... #algorithm #gastroenterology
Probiotics Guidelines
Adults with C difficile infection
 β€’ Recommendation: Only in the context of a clinical trial
Probiotics Guidelines ... with C difficile infection ... and children on antibiotic ... #gastroenterology ... recommendations #management
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
opportunistic infection ... Antibiotics - ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management ... #CriticalCare