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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First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
Asthma, Asthma-COPD ... Overlap and COPD ... The diagnosis of COPD ... identification of the type ... ACO = asthma-COPD
Chronic Obstructive Pulmonary Disease (COPD)
 β€’ COPD Definition
 β€’ Role of PFTs
 β€’ COPD Classification and
Pulmonary Disease (COPD ... ) β€’ COPD Definition ... Role of PFTs β€’ COPD ... co-morbidities β€’ COPD ... Pulmonary #Disease #COPD
Classifications for COPD through the Years
Graphic Design by Mr. Ramon Thompson
#Diagnosis #COPD #Classification #Severity #Critera #GOLD2006
Classifications ... for COPD through ... Thompson #Diagnosis #COPD ... #Classification
GOLD2017 - The refined ABCD assessment tool. FEV1: forced expiratory volume in 1β€…s; FVC: forced vital
vital capacity; GOLD ... Council; CAT: COPD ... Diagnosis #Pulmonary #COPD ... Staging #Grading #Classification
COPD Management Algorithm - GOLD 2019 guidelines 

Categorize into COPD GOLD A-D -> Initiate first-line therapy
COPD Management ... Categorize into COPD ... EXACERBATIONS COPD ... pharmacotherapy of COPD ... patients with COPD
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... #management #cold ... warm #wet #dry #table
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Classification ... overdiuresis β€’ Cold ... β€’ MI, CHF β€’ Cold ... tamponade β€’ Cold
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Shock Forrester Classification ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold ... CHF #Diagnosis #Table
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
Reduce risk of COPD ... Initiate if severe COPD ... daily The 2019 COPD ... the treatment of COPD ... #Pharmacology #COPD
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... tachycardia, dyspnea, cold ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... cardiomyopathy HYPOVOLEMIC (Cold