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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Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
Medical Treatment Algorithm ... disease (COPD) ... squared; CAT, COPD ... #COPD #Treatment ... #Pulmonary #LABA
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... HYPOVOLEMIC (Cold ... #management #cold ... warm #wet #dry #table
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
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
Chronic Obstructive Pulmonary Disease (COPD)
 β€’ COPD Definition
 β€’ Role of PFTs
 β€’ COPD Classification and
Disease (COPD) ... β€’ COPD Definition ... Role of PFTs β€’ COPD ... Classification ... #Disease #COPD
Long-Acting Dual Bronchodilators - LAMA/LABA Combo Inhalers 

The FDA approved a new dual bronchodilator (LABA/LAMA) combination
/LABA Combo Inhalers ... bronchodilator (LABA ... Tudorza which is a type ... for treatment of COPD ... recommended regimens for COPD
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 ... Dosing: 250 mcg tablet ... the treatment of COPD ... #Pharmacology #COPD
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
> Low dose ICS/LABA ... product used in COPD ... the dose of the COPD ... version is blue but COPD ... #Pharmacology #Pulmonary
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 #GOLD2017 ... Staging #Grading #Classification
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