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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Treatment Algorithm for First Time Pulmonary Embolism
 β€’ Provoked
 β€’ Unprovoked
 β€’ Active Malignancy

By Carlin Rooke,
Treatment Algorithm ... for First Time Pulmonary ... #PE #Pulmonary # ... Embolism #Treatment ... #hematology #VTE
Treatment algorithm for VTE in Malignancy

(A) Suggested treatment algorithm for symptomatic and incidental DVT or PE
Treatment algorithm ... for VTE in Malignancy ... incidental DVT or PE ... single subsegmental PE ... risk of recurrent VTE
Patient risk stratification algorithm for the treatment of cancer-associated thrombosis.

Currently, edoxaban and rivaroxaban are the only
stratification algorithm ... for the treatment ... vein thrombosis; PE ... = pulmonary embolism ... #Cancer #Algorithm
β–Ί
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... score (30-day PE-related ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... stratification #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... @nickmmark #Pulmonary ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... >> Acute PE, Tension ... Management #Summary #criticalcare ... #treatment #workup
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... ), RV Failure (PE ... Cardiac Tamponade, Pulmonary ... guyton #curves #criticalcare
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... β€’ Assess for Pulmonary ... cteph #management #algorithm ... #cardiology #pulmonary ... #treatment
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... findings in acute PE ... supporting evidence of PE ... ST-T Changes β€’ STE ... AcutePE #diagnosis #cardiology