Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis management anesthesia anesthesiology intraoperative aub bleeding block bloodloss cardiac comparison criticalcare differential druginduced electricity embolism embolus endocrinology evacuation failure
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Algorithm Step ... may actually be normal ... considered likely, the cause ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
Pancreatitis management checklist ... Evaluation to ... moderate amount fluid ... resuscitation (e.g. fluid ... limit them as able
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Function Tests in the Evaluation ... T4 → Possibly Central ... Hyperthyroidism: Work-up ... high T4 +/- T3 → Central ... Hyperthyroidism #algorithm
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
after initial fluid ... steps. ❽ Insert central ... to further aid fluid ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
pus, effusion fluid ... , e.g. central line ... measures: • Fluid ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
• If immediate evacuation ... until patient is stable ... • Consider evacuation ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... fat, amniotic fluid ... possible • If central ... Intraoperative #Checklist ... Diagnosis #Management #Workup
ED Treatment of Abnormal Uterine Bleeding Hemodynamically unstable Resuscitation • ABCs! • Fluids +
Treatment of Abnormal ... • Fluids + blood ... pregnancy related cause ... Hemorrhage control ... Hemodynamically stable
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
CRP - Usually normal ... • Immunologic Workup ... Discontinuation of causal ... • Immunologic Workup ... sle #comparison #table
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... • Give i.v. fluid ... Consider other causes ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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