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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27 results
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute ... Pulmonary Embolism on POCUS ... D-sign appreciated ... Pulmonary #Embolism #POCUS ... #CriticalCare
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RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Pulmonary Embolism on POCUS ... bulging septum on PLAX ... D-sign appreciated ... #PLAX #Echocardiogram ... #CriticalCare
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Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +
Priority-based management ... algorithm for the ... Cardiac POCUS 3 ... pulseless #electrical #activity ... #management #criticalcare
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... hyperkalemia #kaliuresis #management ... #criticalcare # ... treatment #diuretics ... diuresis #nephrology #algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Ulcerative Colitis - Management ... Assess Disease Activity ... : Flex Sig, FCP, ... up • Surgery ≠ Treatment ... #Treatment
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Adherence • Disease Activity ... Escalate Treatment ... Colitis Escalate Treatment ... JAK Inhibitor Algorithm ... #Management #Algorithm
Assessment and Treatment of Severe Asthma, According to Inflammatory Phenotypes, in Patients without a Response to
Assessment and Treatment ... Multidisciplinary Management ... and evidence of reactivity ... #Management #PCC ... Asthma #Severe #Algorithm
Overview of approach to brain death

Pursuing a diagnosis of brain death too early may lead to
patient should focus ... with no brain activity ... #Diagnosis #CriticalCare ... BrainDeath #Dead #Algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Exacerbation Signs ... of baseline Treatments ... #Exacerbation #CriticalCare ... ventilation #mechanical #management ... #treatment
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
Hemorrhagic Shock PLAN ... CONTROLLING HEMORRHAGE & ACTIVATE ... TRANSFUSION PROTOCOL • Activate ... Hemorrhagic #Shock #Management ... #Summary #CriticalCare