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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21 results
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
Pregnancy - TTP/HUS, HELLP ... child * Severe cases ... trimester * Can support ... defects and liver failure ... hematology #diagnosis #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Differential Diagnosis by Classification ... - Severe heart failure ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
coagulation defects. 1) HELLP ... child * Severe cases ... defects and liver failure ... trimester * Can support ... Diagnosis #Comparison #Table
COVID-19 RESPIRATORY PATHWAY ALGORITHM
Awake proning may help with oxygenation
Permissive hypoxemia, if closely monitored and in the
RESPIRATORY PATHWAY ALGORITHM ... Awake proning may help ... #RESPIRATORY #Support ... #ALGORITHM #NIV ... SARSCOV2 #Hypoxemia #Failure
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Traditionally, congestive heart failure has been classified according to severity of symptoms, first formulated by the
congestive heart failure ... end-stage heart failure ... options that may help ... flare ups that cause ... HeartFailure #Staging #Classification
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
#respiratory #support ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
= nonspecific (nausea ... β†’ Acute liver failure ... β†’ Multiorgan failure ... Preeclampsia, HELLP ... Critical care support
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Intra-cardiac pump failure ... β€’ Severe heart failure ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare