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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Toxic Alcohol Ingestion
Alcoholic ketoacidosis - Methanol - Ethylene glycol - Isopropyl Alcohol
 β€’ Metabolic Acidosis
 β€’
Toxic Alcohol Ingestion ... Alcoholic ketoacidosis ... glycol - Isopropyl Alcohol ... #Ingestion #diagnosis ... #toxicology #comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
Toxic Alcohol Ingestions
Metabolic Acidosis - Osmolar Gap - Anion Gap - Ketones - Ca Oxalate Stones
Toxic Alcohol Ingestions ... β€’ Isopropyl Alcohol ... @kdjhaveri #Toxicology ... #comparison #table ... #osmolargap #diagnosis
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Ultrasound: Cardiogenic Pulmonary ... ARDS Cardiogenic Pulmonary ... Non-cardiogenic pulmonary ... #edema #comparison ... #clinical #diagnosis
β–Ί
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
hydroxybutyrate (GHB) - Toxicology ... Clinical presentation ... Hydroxybutyrate #GHB #Toxicology ... #Toxicity #Diagnosis ... #Management #Pharmacology
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Bladder View 7. ... Pulmonary View ... Pulmonary View ... DVT depending on clinical ... POCUS #Protocol #diagnosis
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Blood Pressure, Pulmonary ... Internet Book of Critical ... Properties #Table #Pharmacology ... Effect #Management #Comparison
Causes of elevated osmolal gaps. For the 341 patients who presented with elevated osmolal gap (OG)
analysis of toxic alcohols ... chromatography and by chart review ... patients where toxic alcohol ... absence of toxic alcohol ... #Diagnosis #Toxicology
Causes of elevated osmolal gaps. For the 341 patients who presented with elevated osmolal gap (OG)
analysis of toxic alcohols ... chromatography and by chart review ... patients where toxic alcohol ... absence of toxic alcohol ... #Diagnosis #Toxicology
Toxidromes Compared: Anticholinergic, Cholinergic, Opioid, Sympathomimetic, Sedative-Hypnotic

During your physical exam, look for evidence of some of
further down) clinical ... #Diagnosis #Toxicology ... #Toxidromes #Comparison