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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13 results
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... or iatrogenic causes ... tamponade recurs. ❿ Plan ... specialist referral. β“« Plan ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
an adrenaline infusion ... as patient is stable ... β€’ Plan for repeat ... feasible (Box B). β“­ Plan ... Diagnosis #Management #Workup
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Causes of Secondary ... ) or IV saline infusion ... aldosterone at 4 h of infusion ... #Screening #Workup ... #table
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - PLAX ... frequently benign causes ... consider serious causes ... Echocardiogram #PLAX
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Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Guidelines for Crises ... . ❼ Use rapid infusion ... Discuss management plan ... haematologist. ⓬ Plan ... Diagnosis #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... appropriate local plan ... until patient is stable ... Guidelines for crises ... Diagnosis #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
β€’ Plan to ensure ... fluid by rapid infusion ... Consider other causes ... Haemorrhage. ❼ Plan ... Diagnosis #Management #Workup
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... with poor renal perfusion ... differential #diagnosis #table
Cardiac Tamponade on Echocardiogram in Slow Motion (PLAX)
EchoProTip: Does this patient has a potentially hemodynamically compromising
in Slow Motion (PLAX ... hemodynamically compromising effusion ... large pericardial effusion ... Hemodynamically stable ... echocardiogram #PLAX
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Fibrinous pericardial effusion with tamponade on POCUS

80F w AFib w pacemaker on warfarin presents with n/v
Fibrinous pericardial effusion ... with tamponade on POCUS ... Other causes of ... #hemorrhagic #POCUS ... Echocardiogram #PSAX
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