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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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... water #Shock #Classification ... #Types #diagnosis ... warm #wet #dry #table
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation Algorithm ... young or very old ... determine the type ... Hypernatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Failure, Toxins/Medications ... , Spinal Cord Injury ... Sophia_Hayes_MD #Shock #Classification ... Differential #Diagnosis #Types
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
obstruction • COPD ... asthma, ↓ Drive, Medications ... nickmmark #acidbase #workup ... #algorithm #diagnosis
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Renal Loses - Medications ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Type 2 Diabetes ... and Management Algorithm ... Rubella) • Medications ... Targets #Management #algorithm ... #DM2 #DMII #Classification
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... as Asthma and COPD ... to 6-8 hours to work ... Fibrillation #AFib #RVR #Medications ... treatment #comparison #table