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
tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... diagnosis #management #cold ... warm #wet #dry #table
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
obstruction • COPD ... MD @nickmmark #acidbase ... #workup #algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... Anaphylaxis - Spinal cord ... flow) - Massive pulmonary ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Classically” noted with pulmonary ... lung disease (COPD ... MDaniyalHashmi1 #AcidBase ... Interpretation #Diagnosis #Summary
ASV - Adaptive Support Ventilation Summary
Basic Set Parameters:
  1) Target MV (80-120%)
  2) PEEP
Support Ventilation Summary ... lowest amount of work ... no significant pulmonary ... patients with ARDS, COPD ... #Ventilation #pulmonary
Coccidioidomycosis (Coccidioides): Valley Fever - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode of Transmission
Valley Fever - Summary ... or excavation work ... When symptomatic→ pulmonary ... meninges and spinal cord ... diagnosis #management #summary
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Summary of Oncologic ... full infectious work-up ... days → add fungal work-up ... replacement Cord ... renal failure, pulmonary