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 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
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Blood Pressure, Pulmonary ... Properties #Table #Pharmacology ... #Effect #Management ... #Comparison #Inotropes
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 β€’ RV size - Enlarged
 β€’ LA
Echocardiography Pulmonary ... PADP-PCWP > 7 mmHg Pulmonary ... Differentiating #PAH #PVH #Echocardiogram ... #comparison #diagnosis ... #cardiology #pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
multiplex WORKUP & DIAGNOSIS ... o infection β€’ Echocardiogram ... laden macrophages (diagnostic ... #differential #diagnosis ... #management #treatment
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Here is a review ... nonpharmacologic management ... Stepwise #Therapy #Management ... #Pharmacology # ... Pulmonary
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
parasternal long D(is view ... , four chamber view ... acceleration time of pulmonary ... cmls) #TTE #Echocardiogram ... Transthoracic #Diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy β€’ Pulmonary ... auto-transfusion and relief ... should be done on diagnosis ... Cardiomyopathy #diagnosis
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... β€’ PULMONARY A ... Tolerance #testing #diagnosis ... #criticalcare #comparison ... #challenges #management
Transesophageal Echocardiogram (TEE) Windows
1. ME 5-Chamber view 
2. ME 4-Chamber view 
3. ME-Commissural view 
4. ME
Transesophageal Echocardiogram ... ME Right Pulmonary ... Upper Right & Left Pulmonary ... Transesophageal #Echocardiogram ... Windows #Views #diagnosis
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
High Altitude Pulmonary ... AMS #HACE #HAPE #Diagnosis ... #Management #Elevation ... #Comparison #Table