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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Glucagon: Bypassing Ξ²-Blockade

Glucagon pathophysiology and clinical applications in anaphylaxis and beta-blocker overdose

#Toxicology #Pharmacology #Pathophysiology #Glucagon #BetaBlocker
Ξ²-Blockade Glucagon pathophysiology ... and beta-blocker overdose ... #Toxicology # ... Pharmacology #Pathophysiology ... #BetaBlockade #Overdose
Intravenous Lipid Emulsion (ILE) Therapy

ILE is a treatment for severe toxicity from local anesthetics. In addition,
Lipid Emulsion (ILE ... ) Therapy ILE ... #Therapy #Toxicology ... #Management #Pharmacology ... #Overdose #intralipid
Acetaminophen metabolism and factors affecting toxicity. 
GSH = glutathione 

#Acetaminophen #APAP #metabolism #toxicity #Toxicology #Pathophysiology #Overdose
metabolism #toxicity #Toxicology ... #Pathophysiology ... #Overdose
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 β€’ Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin Syndrome ... serotoninergic meds (i.e ... ucsdim #Serotonin #Syndrome ... Management #treatment #toxicology
Anti-IL6 Agents (Tocilizumab, Siltuximab) in COVID19

IL-6 activates T cells and macrophages, among other cell types (see
Anti-IL6 Agents ... in COVID19 IL ... Cytokine Activation Syndrome ... ” IL-6 levels are ... Siltuximab #COVID19 #Pharmacology
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... Naloxone #Narcan #Toxicology ... #Management #Pharmacology ... #Overdose
Lemierre’s Syndrome - Pathophysiology

Lemierre’s is an infectious thrombophlebitis of the internal jugular vein.

 - It starts
Lemierre’s Syndrome ... - Pathophysiology ... parapharyngeal space (ie ... #Lemierres #Syndrome ... #Pathophysiology
Stress Ulcer Prophylaxis

Stress ulcerations are common in ICU patients and may lead to hemorrhage if not
Critically ill patients ... hospitalization) β€’ Pathophysiology ... #criticalcare #pharmacology
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
producing UTI (i.e ... rare): - Reye syndrome ... deficiency #Ammonia #Pathophysiology
The Inhibited Pathway caused by N2O, leading to a decrease in the active form of Vitamin
N2O can cause a syndrome ... #Pathophysiology ... #Toxicology #NitrousOxide