Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential checklist classification overview troubleshooting workup admissions admitting anesthesia anesthesiology b12 carbon cardiacarrest cobalamin deficiency ecmo icu intraoperative lactate lactic
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Renal: metabolic acidosis ... #management #Overview ... #criticalcare # ... differential #causes
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Cardiogenic & Septic Shock ... Arrest, Severe Hypoxemia ... , Regional Ischemia ... #criticalcare #
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Renal: metabolic acidosis ... #management #Overview ... #criticalcare # ... differential #causes
Ventilator Troubleshooting Summary High PIP, nl Pplat: - DDx: Tubing problem, Bronchospasm, Secretions - Next Steps: Check
- DDx: Tubing problem ... Bronchodilators/Steroids Hypoxemia ... Treat underlying cause ... Troubleshooting #diagnosis ... #management #pulmonary
ECMO Troubleshooting - OnePager Summary ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
circuit and can cause ... : • HYPOXEMIA is ... • HYPERCAPNIA/ACIDOSIS ... #diagnosis #differential ... #management #criticalcare
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
4 H’s, 4 T’s: Hypoxia ... peri-operative problems ... toxicity (→ 3-10) Acidosis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Carbon Monoxide Poisoning Clinical • Headache • Nausea / vomiting • Loss of consciousness
Headache • Nausea ... consciousness • Hypoxia ... , chest pain Management ... Severe metabolic acidosis ... Poisoning #Toxicology #Diagnosis
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
start making a problem ... esp in work-up/management ... of shock MICRO ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... attributable to tissue hypoxia ... and organ ischemia ... parasthesias, gait problems ... #management #nutrition
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