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 Pulmonary Embolism - Management Algorithms
 - Hemodynamically Stable Patients
 - Hemodynamically Unstable Patients

- Dr. Eric
Acute Pulmonary ... Embolism - Management ... Hemodynamically Stable ... #Embolism #acutePE ... Management #Algorithm #treatment
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... #Embolism #Risk
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... embolism - Pericardial ... Classification #Table
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... embolism. ... was cardiogenic pulmonary ... Clinical #Radiology #CTChest ... SeptalThickening #CHF #RadiologyAssistant
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... management #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Treatment Goals ... criticalcare #algorithm #treatment
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) β€’ Pulmonary ... failure from massive pulmonary ... embolism or severe ... pulmonary hypertension ... warm #wet #dry #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... amniotic or fat embolism
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... Diagnosis #Radiology #Pulmonary ... #CTChest #Consolidation ... #Differential #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
infarction In pulmonar ... embolism it is ... The pulmonary embolus ... Radiology #CXR #CTChest ... PulmonaryEmbolism #RadiologyAssistant