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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Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
#Pharmacology #Comparison ... Loop #Thiazide #CHF ... #Cardiology #Management
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture β€’ ED Management ... 1 week MH/CCF ... Mallet #Finger #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
β€’ Nonoperative managernent ... repair MH/CCF ... Forearm #Ulnar #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Proximal #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures β€’ ED Management ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation β€’ ED Management ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation - ED Management ... glenoid) β€’ ED Management ... I week MH/CCF ... Dislocation #Anterior #Radiology ... Orthopedics #Sports #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
motion β€’ ED Management ... MH/CCF/CWRU ... Thumb #Metacarpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK