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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Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
) on Chest POCUS ... Pulmonary teaching ... - What’s the diagnosis ... infected pleural effusion ... #pulmonary #respiratory
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Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... drain - What’s the diagnosis ... infected pleural effusion ... Fusobacterium Treatment ... of the pleural effusion
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Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Classification Types ... massive pericardial effusion ... Pulmonary embolism ... #Comparison #criticalcare ... #diagnosis #classification
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... failure from massive pulmonary ... embolism or severe pulmonary ... #diagnosis #management ... #criticalcare #
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Differential Diaqnoses ... hepatitis • Pulmonary ... : pleural effusion ... • Ocular: uveitis ... #management #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Influenza Checklist Diagnostic ... needed to exclude effusion ... suspected Adiunctive treatments ... lab-confirmed influenza, pulmonary ... Checklist #Management #CriticalCare