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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Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Diagnosis β€’ Hyperacute ... Embolism, Pneumothorax ... Embolism, Emphysema ... Pressure Vent, pHTN, Shock
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... embolism. ... #Echocardiogram
β–Ί
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Treatment Goals
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ... obstruction β€’ Pulmonary ... #Diagnosis #Algorithm
Pulmonary Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death

Findings
Pulmonary Embolism ... Predict Circulatory Shock ... From Pulmonary ... Embolism: Systematic ... S1Q3T3 #Predictive #Diagnosis
More common & convincing pneumonia mimics 

Aspiration pneumonitis, 
Pulmonary vasculitis, 
Acute eosinophilic pneummia,  
Cryptogeric organizing
pneumonitis, Pulmonary ... Embolism, Septic ... Pulmonary Emboli ... Pneumonia #Mimics #Differential ... #Diagnosis #Pulmonary
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... embolism - Pericardial ... #Differential #
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential ... Diagnosis SHOCK ... , CVP > 12 β€’ Pulmonary ... Embolism, Tension ... #Diagnosis #Types
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... #Embolism #Risk ... prognostication #diagnosis
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... amniotic or fat embolism ... #diagnosis #differential