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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On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... SeptalThickening #CHF ... #RadiologyAssistant
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... β€’ Obstructive: Pulmonary ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Decompensated CHF ... , CVP > 12 β€’ Pulmonary ... Diagnosis #Types #criticalcare
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
standing erect, the pulmonary ... The pulmonary vascular ... during a period of CHF ... Radiology #CXR #CHF ... Redistribution #RadiologyAssistant
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... @nickmmark #Pulmonary ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: β€’ CHF ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #indications #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
of baseline Treatments ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... mechanical #management #treatment
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... distribution of pulmonary ... Radiology #CXR #CHF ... #Alveolar #Pulmonary ... AlveolarEdema #RadiologyAssistant
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Diagnosis #Management #treatment ... #workup #pulmonary ... #criticalcare
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
: 33% β€’ Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... : No β€’ Treatment