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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... , based on clinical ... call it, β€œThink High ... POCUS #Evaluation #Protocol ... #Algorithm #High
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... , based on clinical ... call it, β€œThink High ... POCUS #Evaluation #Protocol ... #Algorithm #Low
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... The FALLS-protocol ... classification ... Diagnosis #FALLS #Protocol ... #Shock #Algorithm
IDSA Algorithm for the Initial Management of Fever and Neutropenia

LOW RISK
 β€’ Antidpated neutropenia < 7
IDSA Algorithm for ... Management of Fever ... stable and no medical ... comorbidities HIGH ... #IDSA #Algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... areas, back of thigh ... #Classification ... differential #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... areas, back of thigh ... #Classification ... differential #causes #classification
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
Risk factors: Critical ... illness, high plasma ... explain symptoms β€’ Fever ... pulmonary edema) β€’ Fever ... diagnosis #comparison #table
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... Clinical features ... - Hypotension, shock ... Hyperpigmented skin (due to high ... findings (see algorithm
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
So high index of ... clinical suspicion ... features: Fever ... features: Fever ... Marantic #diagnosis #table
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
confusion and fever ... BP stable, HR 115 ... The table below ... Mortality is high ... microscopy #pathology #clinical