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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algorithm coronavirus differential sarscov2 treatment workup admissions admitting anticoagulation classification embolism empiric endocarditis extrapulmonary hypokalemia icu influenza pancreatitis pearls pert
Extrapulmonary manifestations of COVID-19 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke • Renal:
manifestations of COVID ... arrhythmias, Cardiogenic shock ... , Myocardial ischemia ... , Acute cor pulmonale ... Extrapulmonary #Diagnosis
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
Pulmonary Embolism ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... • Obstructive: Pulmonary ... #Differential #Diagnosis ... #criticalcare # ... algorithm #treatment #management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #types #diagnosis ... #management #criticalcare
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
checklist Evaluation ... as for septic shock ... #Pancreatitis #Checklist ... #Diagnosis #Management ... #CriticalCare
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... - Myocardial ischemia ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... esp in work-up/management ... of shock MICRO ... #diagnosis #workup ... #criticalcare
Possible Approach to Immunosuppression in Severe COVID-19 The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... -19 The diagnosis ... anticoagulation #COVID19 ... #management #schema ... #criticalcare #
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