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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Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Management Summary β€’ Hypotension ... Setup - Ultrasound ... #criticalcare #treatment ... #workup
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... essential to determine treatment ... effect of neuraxial anesthesia ... , Medications (anesthesia ... #diagnosis #differential
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... an adrenaline infusion ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Hypotension ... rate, rhythm, perfusion ... #Differential # ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Causes of Secondary Hypertension ... - Differential ... Diagnosis and Screening ... disease - Renal ultrasound ... #Screening #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... β€’ Diagnostic ... thoracotomy is a better treatment ... Anesthesiology #Anesthesia ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
alternatively a reflex to hypotension ... remember to tailor treatment ... rate, rhythm, perfusion ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... bradycardia OR severe hypotension ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
point where tissue perfusion ... β€’ Diagnosis: ... by bradycardia, hypotension ... #Emergencies #diagnosis ... #management #treatment
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... o infection β€’ Echocardiogram ... LVEF, pericardial effusion ... Renal #Syndromes #differential ... #treatment