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 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
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... β€’ Labs: CBC, cr ... , anti-CCP β€’ CXR ... Renal #Syndrome #differential ... #diagnosis #nephrology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... Primary Vascular: Pulmonary ... Massive #Hemoptysis #Differential ... #pulmonary #criticalcare
Cor triatriatum
 β€’ Epidemiology
 β€’ Etiology
 β€’ Associated Lesions
 β€’ Differentials Diagnosis
 β€’ Anatomy - Sinister,
Cor triatriatum ... Associated Lesions β€’ Differentials ... Diagnosis β€’ Treatment ... Post-Operative Management ... CorTriatriatum #diagnosis #management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... #Embolism #Treatment ... #AcutePE #Management ... #CriticalCare
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 β€’ Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Algorithm and Management ... #Stroke #CVA #Differential ... Diagnosis #Algorithm #management ... #neurology #treatment
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... Management ● Early ... #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
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
CXR Repeatedly ... Orders placed, treatments ... Response #Team #RRT #Management ... #treatment #criticalcare