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 differential intraoperative lupus rheumatology druginduced sle airway cardiacarrest causes comparison cva cyanosis dil epistaxis erythematosus hypomagnesemia
Epistaxis Management Algorithm / Checklist 1. blow out clots 2. vasoconstrictor spray 3. nose clip or direct
Epistaxis Management Algorithm ... / Checklist ... 1. blow out clots ... coagulopathy, surgical evaluation ... #Checklist #ENT
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... in >90% - Low ... • Immunologic Workup ... 60-80% - Low ... sle #comparison #table
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... A) Initial Evaluation ... Ruled out other causes ... #CVA #stroke #workup ... #diagnosis #checklist
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
• Immunologic Workup ... > - Anti-ENA ... Positive in 60-80% of cases ... 60-80% - Low ... management of SLE • Evolution
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
delegate task of evaluating ... Increase fresh gas flow ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
from start to end ... Increase fresh gas flow ... POTENTIAL CAUSES ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
from start to end ... • If SpO2 low ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
Drug Induced Lupus (DIL) • Epidemiology: -10% of all lupus cases, drug-dependent, 4:1 to 1:1 F:M
10% of all lupus cases ... • Immunologic Workup ... anti-chromatin) - Anti-ENA ... in >90% - Low ... cutaneous-DIL • Evolution
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