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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Hyperthermic Syndromes - This table summarizes the similarities and differences between some toxicologic causes of hyperthermic
Syndromes - This table ... some toxicologic causes ... Syndrome • Malignant ... Hyperthermic #Syndromes #Comparison ... #Table #Diagnosis
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 •
Large pleural effusion ... localized pleural effusion ... areas #COVID19 #POCUS ... Lung #Ultrasound #Comparison ... #Table #Diagnosis
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Noninfectious: • Malignancy ... #Hepatology #causes
Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
known or suspected malignant ... pleural effusion ... #Malignant #Pleural ... #Effusions #MPE ... #Algorithm #Management
Malignant Pericardial Effusion on POCUS

Stable vitals, mild shortness of breath, h/o metastatic breast CA, with obvious
Malignant Pericardial ... Effusion on POCUS ... Stable vitals ... #Malignant #Echocardiogram ... #POCUS #Clinical
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Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
findings based on cause ... release syndrome, infusion ... Differential #Diagnosis #table ... #comparison #criticalcare
Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C
CA patient with known pericardial effusion who
Malignant Pericardial ... on POCUS Echocardiogram ... BP stable. ... RJonesSonoEM #Malignant ... Tamponade #Cardiac #POCUS
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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
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Autoimmune (SLE/APLS), Malignancy ... in up to 30% of cases ... #Endocarditis #comparison ... Marantic #diagnosis #table
Hyperthermic Toxidromes
Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures.
 • Sympathomimetic -
• Neuroleptic Malignant ... Parkinson’s Tx) • Malignant ... pharmacogenetic disease caused ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis