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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Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential Diagnosis ... Insipidus Workup ... Step #1 - Consider ... Uglucose Step #3 ... Hypernatremia #Management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... #Diarrhea #Workup ... #Management #Algorithm ... #Transplant #diagnosis
A good approach when dealing with hypotension at the bedside includes using the following systematic four
individual component: 1. ... Volume Status 3. ... Vascular Resistance #Diagnosis ... #Management #EM ... Hypotension #Approach #Algorithm
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
appropriate local plan ... necessary → 4-3 ... If failed → 4-1 ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
spinal needle + 3- ... Child: 20 ml.kg-1) ... definitive management ... xiphoid • Attach 3- ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
anaphylaxis suspected → 3- ... 1 ❽ If airway soiling ... Consider alternate diagnoses ... safe to do so. ⓮ Plan ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
persistent, consider → 3- ... • Plan for repeat ... sample at 1-2 hours ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
have no serious diagnosis ... a negative ED work-up ... future risks, 3) ... #Management #PatientInfo ... #Cardiology #EM
Neurosyphilis - Treponema pallidum - Diagnosis Algorithm
Lumbar Puncture Indications:
 • Neuro / Ocular symptoms
 • HIV
Algorithm Lumbar ... Indications: • Neuro / Ocular ... Syphilis LP Triad: 1) ... Lymphocytic Pleocytosis 3) ... #puncture #management
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
Farmer and forestry work ... adjacent to the focus ... : 1) Fresh wet ... 2) Culture 3) ... #management #treatment