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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Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... is caused by a ... Evaluation: 1. ... deficit β€’ Shock ... HR and BP: β€’ Control
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
protocol - POCUS evaluation ... an ultrasound evaluation ... failure Includes evaluation ... classification ... #Algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
Algorithm for the ... diagnostic evaluation ... peripheral or central ... peripheral or central ... The approach uses
β–Ί
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... shock. ... valvular rupture, dissection ... #Classification ... warm #wet #dry #table
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
vertebral artery dissection ... vestibular syndrome (eg central ... cause) #Titrate ... #algorithm #vestibular
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... bradycardia β€’ Sinus pauses ... Differential #Diagnosis #Classification ... #Table #Causes
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
Maculopapular Rashes - THE ALGORITHMIC ... macule and papule (Table ... Those with centrally ... require emergent evaluation ... Maculopapular #Rash #Algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Neuro: altered mental ... #Classification ... #differential #causes ... #classification
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... Shock or respiratory ... Shock evidenced ... bleeding: based on evaluation ... metrorrhagia, central