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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44 results
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Secondary to chronic lung ... β€’ Hypoxia β€’ Pulmonary ... β€’ Oxygen β€’ Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management Summary ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #treatment #workup
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... β€’ Obstructive: Pulmonary ... Treatment Goals ... ) UOP > 0.5 cc/kg
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential # ... #Table #CriticalCare
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... carcinoma of the lung ... hemorrhage) - Pulmonary ... #Diagnosis #Table
Summary of Coagulation Deficiencies
Inherited:
 β€’ Hemophilia A - Deficiency of Factor VIII
 β€’ Hemophilia B -
Summary of Coagulation ... Acute DIC - Septic shock ... #Deficiencies #Summary ... #table #comparison ... #diagnosis #hematology
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... β€’ Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... (eg, acute valvular ... #NormalValues #Differential ... #Table #Chambers
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Evaluation - EKG ... function tests if shock ... 1 β€” Treat the lungs ... Revascularization, treatment