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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Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Acute Altered Mental ... 1) Ask while ... and stabilize: AMS ... #criticalcare # ... encephalopathy #differential
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... β€’ Oliguria β€’ Altered ... Setup - Ultrasound ... #criticalcare # ... treatment #workup
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 β€’ Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Diagnosis Framework ... Start dopamine as ... #Diagnosis #Management ... #cardiology #criticalcare
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... Diaqnoses: β€’ ... Complications: MAS ... Pulmonary: pleural effusion ... #management #treatment
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - RUQ ultrasound ... pain-dose ketamine infusion ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... cold clammy skin, altered ... Classification #types #diagnosis ... #management #criticalcare ... #differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
o infection β€’ Echocardiogram ... LVEF, pericardial effusion ... Renal #Syndromes #differential ... #diagnosis #management ... #treatment
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Proposed Mechanism: Altered ... defibrillator as ... Cardiomyopathy #diagnosis ... #treatment
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
: Measures CVP as ... Point of Care Ultrasound ... Tolerance #testing #diagnosis ... #criticalcare # ... comparison #challenges #management
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
function tests - Ultrasound ... needed to exclude effusion ... suspected Adiunctive treatments ... Influenza #Checklist #Management ... #CriticalCare